Organization
AESTHETIC DENTAL GROUP INC
Active
Other names
Aesthetic dental group inc
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J ROUHANA (DENTIST)
(626) 914-0020
Entity
Organization
Contact information
Practice address
415 W ROUTE 66 STE 201, GLENDORA, CA 91740-4335
(626) 914-0020
(626) 914-0023
Mailing address
415 W ROUTE 66 STE 201, GLENDORA, CA 91740-4335
(626) 914-0020
(626) 914-0023
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
02/13/2025
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