Organization · Type 2 NPI

Aesthetic Dental Group Inc

Dental Clinic/Center · Glendora, CA

NPI number 1629637376 Active

Practice location

415 W Route 66 Ste 201
Glendora, CA 91740-4335

Fax (626) 914-0023

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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NPI record

NPI: 1629637376
Entity type: Organization (Type 2)
Issued: Jun 6, 2019
Last updated: Feb 13, 2025
Status: Active

Other names

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Aesthetic Dental Group Inc · doing business as
Aesthetic Dental Group Inc · doing business as

Authorized official

William J Rouhana
Dentist
(626) 914-0020

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About NPI 1629637376

Aesthetic Dental Group Inc's National Provider Identifier is 1629637376, issued on Jun 6, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Glendora, CA. The record was last updated on Feb 13, 2025.