Organization
BLUE HOUSE DENTISTRY
Active
Parent organization
PANIAGUA DMD., DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANIAGUA DMD., DENTAL CORPORATION
Authorized official
DR. NED PANIAGUA DMD (OWNER)
(909) 996-8905
Entity
Organization
Contact information
Practice address
318 N INDIAN HILL BLVD, CLAREMONT, CA 91711-4611
(909) 443-1055
Mailing address
318 N INDIAN HILL BLVD, CLAREMONT, CA 91711-4611
(909) 443-1055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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