Organization
SAN GABRIEL VALLEY FOUNDATION FOR DENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONDRA CONTINO (DIRECTOR)
(626) 688-6407
Entity
Organization
Contact information
Practice address
14101 NELSON AVE, LA PUENTE, CA 91746-2640
(626) 688-6407
(626) 934-2893
Mailing address
PO BOX 99, TEMPLE CITY, CA 91780-0099
(626) 688-6407
(626) 934-2893
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10362
CA
Other
Enumeration date
12/18/2010
Last updated
12/18/2010
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