Dental Care of la Verne

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38323 Issued in CA

Legal business name

DENTAL CARE OF LA VERNE

Practice address

2323 Foothill Blvd
La Verne, CA 91750-3027

Phone

(909) 596-1861

Fax

(909) 596-6362

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Liu, DDSNPI 1639268063

Title

Dentis

Phone

(909) 596-1861

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Chen Liu, D.D.S.

  • General Practice Dentistry
  • La Verne, CA
  • NPI 1639268063
  NPD (past) Authorized official
• Melanie-Phoebe Franco, DDS

  • Dentist
  • Mission Viejo, CA
  • NPI 1578290532
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1548455306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-596-1861",
            "fax_number": "909-596-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-596-1861",
            "fax_number": "909-596-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF LA VERNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIS",
        "authorized_official_telephone_number": "909-596-1861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milissa Ann Defazio, RN
• Sarah Danielle Degbeh
• Joanna Delarosa
• Adolph Thomas Delgado, MFTI
• Demian Choi DDS, Inc (Prizm Dental)
• Dental Corporation of Louis Z. Stromberg, DDS (La Verne Dental Group)
• Dental Corporation of Wade Melvin Banner DMD Inc
• Emma Depew, M.S. CCC-SLP
• Diane Boval DDS a Professional Dental Corp (Gold Coast Dental)
• Mini Diblasi, M.S.

• Dental Clinic/Center in La Verne, CA
• Providers in La Verne, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.