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CADALSO DENTAL CORPORATION NPI 1962794107


NPI Information

NPI: 1962794107
Provider Name: CADALSO DENTAL CORPORATION

Doing Business As: AMERICAN DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4380 HOLT BLVD STE E
MONTCLAIR, CA
ZIP 91763
Phone: (909) 626-1100
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CADALSO DENTAL CORPORATION is a general practice dentist in Montclair, CA. The provider is 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. CADALSO DENTAL CORPORATION NPI is 1962794107. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As American Dental Care.

The provider's business location address is:

4380 HOLT BLVD STE E
MONTCLAIR, CA
ZIP 91763-407
Phone: (909) 626-1100
Fax: (909) 626-1120

The provider's authorized official is Robert T Cadalso .
The authorized official title is President and has the following contact phone number (909) 626-1100.

The enumeration date for this NPI number is 5/5/2011 and was last updated on 5/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice30639CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130639OTHERCALIFORNIASTATE LICENSE
21003934761OTHERIND NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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