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Contact Information

CUCAMONGA PEAK ENDODONTICS
11438 KENYON WAY # 3-C
RANCHO CUCAMONGA, CA91701-9230
 Phone: 909-945-5262
 Fax: 909-945-5223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CUCAMONGA PEAK ENDODONTICS · (Female)

NPI Number 1376928481
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2015
Last updated 07/30/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 63274
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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