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Organization

CHINO HILLS DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY L AGNEW DDS (PRESIDENT)
(909) 364-8282
Entity
Organization

Contact information

Practice address
3110 CHINO AVE, SUITE 260, CHINO HILLS, CA 91709
(909) 364-8282
(909) 364-8330
Mailing address
3110 CHINO AVE, SUITE 260, CHINO HILLS, CA 91709
(909) 364-8282
(909) 364-8330

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55132
CA

Other

Enumeration date
01/17/2014
Last updated
01/17/2014
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