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Cadalso Dental Corporation
General Practice Dentistry in Montclair, California
NPI 1962794107

Cadalso Dental Corporation is a General Practice Dentistry based in Montclair, CA and is specialized in General Practice. Cadalso Dental Corporation practices in Montclair, CA. The NPI Number for Cadalso Dental Corporation is 1962794107 and holds a License No. 30639 (California).

The current practice location address for Cadalso Dental Corporation is 4380 Holt Blvd Ste E, Montclair, CA and can be reached out via phone at 909-626-1100 and via fax at 909-626-1120.

Location: 4380 Holt Blvd Ste E, Montclair, CA, 91763-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962794107
Provider Name
Cadalso Dental Corporation
Credential
Provider Entity Type
Organization
Address
4380 Holt Blvd Ste E, Montclair, CA, 91763-5407
Phone Number
909-626-1100
Fax Number
909-626-1120
Provider Enumeration Date
05/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30639 01 CA STATE LICENSE
1003934761 01 IND NPI
institution
Provider Business Practice Location Address Details
Address
4380 Holt Blvd Ste E
City
Montclair
State
California
Zip
91763-5407
Phone Number
909-626-1100
Fax Number
909-626-1120
person
Provider Business Mailing Address Details
Address
4380 Holt Blvd Ste E
City
Montclair
State
California
Zip
91763-5407
Phone Number
909-626-1100
Fax Number
909-626-1120
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30639 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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