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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHIL JAE RA, D.D.S.

Active

DR. PHIL JAE RA, D.D.S. is a Dentist healthcare provider located in FONTANA, California. NPI 1700901527 is currently active in the NPPES registry. Verify at CMS.

Dentist · FONTANA, CA

Registration Details

NPI Number
1700901527
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2007 (19.21756099348 yrs)
Last Updated
May 21, 2015
License
47551 (CA)

Practice Information

Address
11201 SIERRA AVE
SUITE 1F
FONTANA, CA, 923377581
Browse CA providers · Browse ZIP 92337
Phone
9093553299
Fax
9093553944
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FONTANA, CA

Name Credential NPI
JULIE MCGHEE DDS 1093825168
ANDRZEJ LUBCZUK DDS 1760574867
DR. SARMUKH SINGH KANG DDS 1598831471
AUGUSTO ADRIANO SANTOS DDS 1124182837
DR. YOGISH MEHTA D.D.S 1841347283
DR. ELMER B. HILO I DDS 1871631358
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.