Organization
TODD EHRLER PROFESSIONAL DENTAL CORPORATION
Active
Other names
Children's Dental Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD BRIAN EHRLER DDS (PRESIDENT)
(909) 851-2541
Entity
Organization
Contact information
Practice address
14976 FOOTHILL BLVD, SUITE 100, FONTANA, CA 92335-7045
(909) 350-8730
(909) 350-8733
Mailing address
14976 FOOTHILL BLVD, SUITE 100, FONTANA, CA 92335-7045
(909) 350-8730
(909) 350-8733
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
49748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184706483
TODD BRIAN EHRLER, OFFICER, INDIVIDUAL NPI
CA
Enumeration date
10/30/2014
Last updated
10/31/2014
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