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NPI Profile for AMERICAN DENTAL GROUP in WEST COVINA, CA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dental Hygienist |
124Q00000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X |
| NPI Number | 1497914154 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/06/2008 | |
| Last updated | 08/18/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMERICAN DENTAL GROUP
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AMERICAN DENTAL GROUP