Grovedental Group

LBN: Sukiasyan Professional Dental Corp
Grovedental Group is an health care organization with primary practice located at 8283 Grove Ave Suite 208, Rancho Cucamonga CA 91730-3137. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sukiasyan Professional Dental Corp can be contacted via phone (909) 291-8625, or through Sukiasyan, Arsen via phone (909) 291-8625.

Contact Information

Primary practice address
8283 Grove Ave Suite 208 Rancho Cucamonga CA 91730-3137
Phone: (909) 291-8625
Fax: (909) 291-8629
Website:
Map and Directions
Authorized official contact:
Name: Sukiasyan, Arsen Doctor of Dental Surgery (DDS)
Phone: (909) 291-8625

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 49999 California

Profile Details

NPI number 1124184825
LBN Legal business name Sukiasyan Professional Dental Corp
DBA Doing business as Grovedental Group
Authorized official Sukiasyan, Arsen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124184825 NPPES
California MEDICAID G92938

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