CLINICA DENTAL FAMILIAR SAN JUDAS TADEO (NPI# 1801029681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801029681 |
| Entity Type | Organization |
| Organization Name | CLINICA DENTAL FAMILIAR SAN JUDAS TADEO |
| Other Organization Name | LOURDES CARDOSO DDS INC |
| Practice Address |
1245 N Grove Ave Ste C Ontario CA 91764-2557 |
| Practice Telephone | 9094581068 |
| Practice Fax Number | 9099880792 |
| Mailing Telephone | 9094581068 |
| Mailing Fax Number | 9099880792 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | ELIZABETH DUARTE (BILLER) |
| Authorized Official Telephone | 9099881800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
50895 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| LOURDES CARDOSO DDS INC | Doing Business As Name - Organization |
| Street Address |
1245 N GROVE AVE STE C |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1447717269 | Pomona Community Health Center | Dentist | 1020 N Vine Ave, Ontario, CA 91762-1917 | 2019-02-28 |
| 1710444534 | Pomona Community Health Center | Dentist | 1221 S Oaks Ave, Ontario, CA 91762-4742 | 2019-02-28 |
| 1174080980 | Pomona Community Health Center | Dentist | 1390 W Francis St, Ontario, CA 91762-6014 | 2019-02-28 |
| 1134686918 | Pomona Community Health Center | Dentist | 1605 E D St, Ontario, CA 91764-4405 | 2019-02-27 |
| 1659838431 | Pomona Community Health Center | Dentist | 5555 Howard St, Ontario, CA 91762-4612 | 2019-02-27 |
| 1538626312 | Pomona Community Health Center | Dentist | 1845 S Sultana Ave, Ontario, CA 91761-5326 | 2019-02-27 |
| 1366812026 | Gundong Lee | Dentist | 2800 E Riverside Dr Apt 113, Ontario, CA 91761-7486 | 2015-10-06 |
| 1407257306 | Jedediah T Burton | Dentist | 640 E Princeton St, Ontario, CA 91764-1809 | 2014-09-10 |
| 1851791131 | Doo Yong Lim | Dentist | 2200 S Mountain Ave Ste C, Ontario, CA 91762-6717 | 2014-08-24 |
| Find all providers in ONTARIO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.