Provider Demographics
NPI:1912759994
Name:HOPE FAMILY DENTISTRY
Entity Type:Organization
Organization Name:HOPE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF THE TREASURY
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-628-5133
Mailing Address - Street 1:12716 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3510
Mailing Address - Country:US
Mailing Address - Phone:909-628-5133
Mailing Address - Fax:909-628-2938
Practice Address - Street 1:12716 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3510
Practice Address - Country:US
Practice Address - Phone:909-628-5133
Practice Address - Fax:909-628-2938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty