Organization
DAI BUI FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE PALACIOS (MANAGER)
(909) 625-5357
Entity
Organization
Contact information
Practice address
8851 CENTRAL AVE STE D, MONTCLAIR, CA 91763-1658
(909) 625-5357
(909) 625-5857
Mailing address
8851 CENTRAL AVE STE D, MONTCLAIR, CA 91763-1658
(909) 625-5357
(909) 625-5857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46031
CA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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