Banaria Dental Group INC
Dentist in West Covina, CA. Organization (NPI-2).
NPI number1972160083
StatusActive
Last updated in NPPESMay 23, 2019
Details
- NPI
- 1972160083
- Entity type
- Organization (NPI-2)
- Legal business name
- Banaria Dental Group INC
- Organization subpart
- No
- Enumeration date
- May 23, 2019
- Last updated
- May 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
1550 E. Amar Road Suite VWest Covina, CA 91792
Phone 626-913-3341
Mailing address
1550 E. Amar Road Suite VWest Covina, CA 91792
Phone 626-913-3341
Authorized official
Vivian Caterio Banaria
President/Owner
6269133341
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