institution
Elly Swadipura Dds
Dental Clinic/Center in Irwindale, California
NPI 1063813814

Elly Swadipura Dds is a Dental Clinic/Center based in Irwindale, CA and is specialized in Dental. Elly Swadipura Dds practices in Irwindale, CA. The NPI Number for Elly Swadipura Dds is 1063813814 and holds a License No. D37508 (California).

The current practice location address for Elly Swadipura Dds is 13105 Ramona Blvd, Irwindale, CA and can be reached out via phone at 626-962-2778 and via fax at 626-338-8669.

Location: 13105 Ramona Blvd, Irwindale, CA, 91706-3858
institution
Provider Profile Details
NPI Number
1063813814
Provider Name
Elly Swadipura Dds
Credential
Provider Entity Type
Organization
Address
13105 Ramona Blvd, Irwindale, CA, 91706-3858
Phone Number
626-962-2778
Fax Number
626-338-8669
Provider Enumeration Date
09/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G90745-01 05 CA
institution
Provider Business Practice Location Address Details
Address
13105 Ramona Blvd
City
State
Zip
91706-3858
Phone Number
626-962-2778
Fax Number
626-338-8669
person
Provider Business Mailing Address Details
Address
13105 Ramona Blvd
City
State
Zip
91706-3858
Phone Number
626-962-2778
Fax Number
626-338-8669
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D37508 (California)
Definition
Definition to come...
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