Organization
ADRIANA THOMAS PROFESSIONAL DENTAL CORP
Active
Other names
Plaza Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA THOMAS DDS (PRESIDENT OWNER)
(909) 594-2444
Entity
Organization
Contact information
Practice address
1120 VIA VERDE, SAN DIMAS, CA 91773
(909) 599-2444
(909) 599-2024
Mailing address
1120 VIA VERDE, SAN DIMAS, CA 91773
(909) 599-2444
(909) 599-2024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F9179901
—
CA
Enumeration date
05/21/2007
Last updated
06/22/2010
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