Organization
JOHNNY K MA DDS PROFESSIONAL DENTAL CORP
Active
Other names
Chino Valley Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY K MA DDS (PRESIDENT)
(909) 548-6828
Entity
Organization
Contact information
Practice address
13768 ROSWELL AVE, SUITE # 221, CHINO, CA 91710-1401
(909) 548-6828
Mailing address
13768 ROSWELL AVE, SUITE # 221, CHINO, CA 91710-1401
(909) 548-6828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
51855
CA
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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