Organization
ARTEAGA DENTAL CORPORATION
Active
Other names
ARTEAGA DENTAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
ANAMARIA ARTEAGA (OWNER)
(909) 875-8930
Entity
Organization
Contact information
Practice address
494 S RANCHO AVE, SAN BERNARDINO, CA 92410-2144
(909) 875-8930
Mailing address
228 W BASE LINE RD, RIALTO, CA 92376-3306
(909) 875-8930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740468339
DENTICAL
CA
Enumeration date
09/04/2018
Last updated
09/04/2018
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