is a Dental Clinic in Montclair, California. It is located at 4380 Holt Blvd Ste E, Montclair, CA and its contact number is 909-626-1100. The authorized person for is Dr. Robert T Cadalso Jr.
who is President of the clinic and their contact number is 909-626-1100. The primary license number for is 30639 (General Practice) in California. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
4380 Holt Blvd Ste E, Montclair, California, 91763-5407
Phone:
909-626-1100
Fax:
909-626-1120
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Robert T Cadalso Jr.
Position:
President
Contact Number:
909-626-1100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1962794107
NPI Enumeration Date:
05 May, 2011
NPI Last Update On:
05 May, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
30639
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
30639
Other
California
State License
1003934761
Other
Ind Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4380 Holt Blvd Ste E, Montclair, California
Zip:
91763-5407
Phone Number:
909-626-1100
Fax Number:
909-626-1120
Patients can reach at 4380 Holt Blvd Ste E, Montclair, California or can call to book an appointment on 909-626-1100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.