College Street Dental Group
College Street Dental Group provides Dentist services in Covina, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
153 W College StCovina, CA 91723-2008 Not confirmed with CMS for 17 years — call before visiting
Phone: (626) 339-9085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 53724 (CA) |
|---|
Record details
| NPI number | 1538313408 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Park — Dentist · (626) 339-9085 |
| Other names | College Street Dental Group |
| NPI enumerated | November 5, 2008 |
| Last updated in NPPES | November 5, 2008 |
| Mailing address | 153 W College St, Covina, CA 91723-2008 |
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