Packing House District Dental & Orthodontics

LBN: Ketcherside Dental Corporation
Packing House District Dental & Orthodontics is an health care organization with primary practice located at 720 Magnolia Ave Ste A1 , Corona CA 92879-3119. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Ketcherside Dental Corporation can be contacted via phone (951) 737-3800, or through Ketcherside, Homer via phone (909) 810-7167.

Contact Information

Primary practice address
720 Magnolia Ave Ste A1 Corona CA 92879-3119
Phone: (951) 737-3800
Fax: (951) 737-3937
Website:
Map and Directions
Authorized official contact:
Name: Ketcherside, Homer Doctor of Dental Surgery (DDS)
Phone: (909) 810-7167

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 28872 California

Profile Details

NPI number 1629557517
LBN Legal business name Ketcherside Dental Corporation
DBA Doing business as Packing House District Dental & Orthodontics
Authorized official Ketcherside, Homer Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2018
Last updated May 11th, 2020 - about 5 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.

Request for update

Popular Providers