Organization
COMMUNITY DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE SALCIDO (CONTRACT SUPERVISOR)
(714) 708-5308
Entity
Organization
Contact information
Practice address
12171 CENTRAL AVE, CHINO, CA 91710-2421
(909) 628-0208
Mailing address
2 MACARTHUR PL, SUITE 700, SANTA ANA, CA 92707-5924
(714) 708-5308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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