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NPI Code Detail

MEDICARE: SEGUY & HERNANDEZ, A DENTAL PART.

MEDICARE: SEGUY & HERNANDEZ, A DENTAL PART.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist26528CA
2122300000XDentist37836CA
3122300000XDentist55916CA
41223P0300XPeriodontics46081CA
51223X0400XOrthodontics and Dentofacial Orthopedics Dentistry36457CA
6122300000XDentistFNP 5936CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
141104381OTHERCAEDD

General Provider Information

NPI Number : 1720032287
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEGUY & HERNANDEZ, A DENTAL PART.
Provider Business Mailing Address
First Line : 9560 BASELINE RD
Second Line : SUITE B
City : ALTA LOMA
State : CA
Zip : 91701-6435
Country : US
Telephone Number : 909-987-7676
Fax Number : 909-948-9413
Provider Business Practice Location Address
First Line : 9560 BASELINE RD
Second Line : SUITE B
City : ALTA LOMA
State : CA
Zip : 91701-6435
Country : US
Telephone Number : 909-987-7676
Fax Number : 909-948-9413
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVEN HERNANDEZ
Credential : D.D.S.
Telephone Number : 909-987-7676
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/20/2007

Similar Medicare Providers

1871608224 — ALBERT SEGUY D.D.S.
Practice Location Address:
9560 BASELINE RD , SUITE B
ALTA LOMA, CA
91701-6435
Practice Phone: 909-987-7676
Practice Fax:
1588779953 — STEVEN HERNANDEZ D.D.S.
Practice Location Address:
9560 BASELINE RD , SUITE B
ALTA LOMA, CA
91701-6435
Practice Phone: 909-987-7676
Practice Fax:
1891902987 — STEVEN D. HERNANDEZ, D.D.S. A PROFESSIONAL CORPORATION
Practice Location Address:
9560 BASELINE RD , SUITE B
ALTA LOMA, CA
91701-6435
Practice Phone: 909-987-7676
Practice Fax:
1518167568 — DR. RICHARD RYAN BUCK D.D.S.
Practice Location Address:
9560 BASELINE RD , SUITE B
ALTA LOMA, CA
91701-6435
Practice Phone: 909-987-7676
Practice Fax:
1659779734 — HERNANDEZ & BUCK, A DENTAL PARTNERSHIP
Practice Location Address:
9560 BASELINE RD , SUITE B
ALTA LOMA, CA
91701-6435
Practice Phone: 909-987-7676
Practice Fax: 909-948-9413
1588415137 — BRITTANY RIQUEL BROWN RDH
Practice Location Address:
9560 BASE LINE RD STE B
RANCHO CUCAMONGA, CA
91701-6435
Practice Phone: 909-987-7676
Practice Fax:

Directions to “SEGUY & HERNANDEZ, A DENTAL PART. ” Practice Location

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