Crown Concordia Dental Network

LBN: Crown Concordia Dental Network
Crown Concordia Dental Network is an health care organization with primary practice located at 290 W Orange Show Rd Suite 105, San Bernardino CA 92408-3345. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Crown Concordia Dental Network can be contacted via phone (909) 885-7600, or through Faria, Wagner De Luca via phone (909) 885-7600.

Contact Information

Primary practice address
290 W Orange Show Rd Suite 105 San Bernardino CA 92408-3345
Phone: (909) 885-7600
Fax: (909) 885-7612
Website:
Map and Directions
Authorized official contact:
Name: Faria, Wagner De Luca Doctor of Dental Surgery (DDS)
Phone: (909) 885-7600

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 44169 California

Profile Details

NPI number 1427237577
LBN Legal business name Crown Concordia Dental Network
DBA Doing business as
Authorized official Faria, Wagner De Luca Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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