Organization
CLINICA DENTAL FAMILIAR SAN JUDAS TADEO
Active
Other names
LOURDES CARDOSO DDS INC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DUARTE (BILLER)
(909) 988-1800
Entity
Organization
Contact information
Practice address
1245 N GROVE AVE STE C, ONTARIO, CA 91764-2557
(909) 458-1068
(909) 988-0792
Mailing address
1245 N GROVE AVE STE C, ONTARIO, CA 91764-2557
(909) 458-1068
(909) 988-0792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50895
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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