Dentist Providers In Glendora, California

Search Dentist NPI records in Glendora, CA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Glendora, CA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 109, of which 37 are registered as organizations and 72 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

66% Individuals

34% Organizations

28% Female

38% Male

66% Individual Providers (72)34% Medical Organizations (37)28% Female Providers (31)38% Male Providers (41)

Map of Providers

We have mapped the Dentist providers in Glendora, CA to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Glendora, CA
NPI	Name	Address	Insurance	Medicare	PECOS
1003469883	FRANKIE C NGO (Individual)	605 W ROUTE 66 GLENDORA, CA 91740 (626) 771-1320	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1013131283	JOSEPH A GELERIS (Individual)	175 N PENNSYLVANIA # 3 GLENDORA, CA 91741 (626) 963-7519	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1013299403	JACOBSON DENTAL CORP CHILDREN'S CHOICE PEDIATRIC DENTAL CARE (Organization)	641 W ROUTE 66 SUITE E GLENDORA, CA 91740 (626) 914-7645		Non-Participating Provider	NO
1013357300	ARNOUK DDS INC FOOTHILL FAMILY DENTAL GROUP (Organization)	210 S GRAND AVE SUITE 420 GLENDORA, CA 91741 (626) 963-3322		Non-Participating Provider	NO
1033285069	PATRICIA KATHLEEN DONNELLY (Individual)	410 S GLENDORA AVE #250 GLENDORA, CA 91741 (626) 963-4464		Non-Participating Provider	NO
1073837548	ADVANCED DENTAL SMILES (Organization)	455 W. FOOTHILL BLVD GLENDORA, CA 91741 (626) 914-9808		Non-Participating Provider	NO
1083062749	JOHN BUNKERS (Individual)	2220 E ROUTE 66 SUITE 107 GLENDORA, CA 91740 (626) 857-4702	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	NO
1083827976	IBRAHIM IRAWAN (Individual)	505 E ARROW HWY GLENDORA, CA 91740 (626) 335-2899	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	YES
1083839781	JAMISON JON PAWLEY (Individual)	175 N PENNSYLVANIA AVE #6 GLENDORA, CA 91741 (626) 963-4173		Non-Participating Provider	NO
1093055980	IBRAHIM IRAWAN DDS (Organization)	505 E ARROW HWY GLENDORA, CA 91740 (626) 335-2899		Non-Participating Provider	NO
1104050251	ANNA LEE, D.D.S., A PROFESSIONAL CORPORATION (Organization)	410 S GLENDORA AVE SUITE 210 GLENDORA, CA 91741 (626) 335-5114		Non-Participating Provider	NO
1104091255	EMAD M AMMAR (Individual)	175 N PENNSYLVANIA AVE STE #5 GLENDORA, CA 91741 (626) 335-6888	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1104658020	SALEM SAYEGH (Individual)	707 W ROUTE 66 STE 102 GLENDORA, CA 91740 (626) 963-7581		Non-Participating Provider	NO
1104692474	DIMITRI HABER (Individual)	420 W BASELINE RD STE C GLENDORA, CA 91740 (626) 335-1211		Non-Participating Provider	NO
1114063112	IFTIKHAR ALI KHAN, DDS, INC GRAND FAMILY DENTAL OFFICE (Organization)	1434 S GRAND AVE GLENDORA, CA 91740 (626) 335-7989		Non-Participating Provider	NO
1114518602	KAITLIN TSUCHIYAMA (Individual)	408 W BASELINE RD GLENDORA, CA 91740 (626) 852-6999	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1134239205	MARK JAY HYER (Individual)	625 E ARROW HWY STE 4 GLENDORA, CA 91740 (626) 963-1648		Non-Participating Provider	NO
1134319684	COMPEAN PROFESSIONAL DENTAL CORPORATION GLENDORA SMILES (Organization)	605 WEST ROUTE 66 GLENDORA, CA 91741 (626) 771-1320		Non-Participating Provider	NO
1154528842	VIVIANE SAYEGH HABER (Individual)	420 W BASELINE RD STE C GLENDORA, CA 91740 (626) 335-1211		Non-Participating Provider	NO
1194395954	MORGAN PAIGE FRANCO (Individual)	610 E ROUTE 66 GLENDORA, CA 91740 (626) 808-5635	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1205097151	KAMAL BEHRAM TARAPOREWALLA (Individual)	241 S GLENDORA AVE GLENDORA, CA 91741 (626) 852-3750		Non-Participating Provider	NO
1225120785	SHEILA CASTRO ROXAS (Individual)	1315 S GRAND AVE SUITE 140 GLENDORA, CA 91740 (626) 914-8418	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1235118969	OSSAMA MURAD SAFAR (Individual)	641 W ROUTE 66 SUITE E GLENDORA, CA 91740 (909) 896-0509	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1235203332	GARABED GARY DEMERJIAN (Individual)	175 N PENNSYLVANIA AVE STE 4 GLENDORA, CA 91741 (626) 852-1865		Non-Participating Provider	NO
1245260421	CALIFORNIA DENTAL SURGERY CENTERS, INC GLENDORA DENTAL SURGERY CENTER (Organization)	906 S GRAND AVE GLENDORA, CA 91740 (626) 852-9500		Non-Participating Provider	NO
1245482223	JOY MARIE HELOU (Individual)	1434 S GRAND AVE GLENDORA, CA 91740 (626) 335-7989	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1255513032	MINAL D PATEL (Individual)	641 W ROUTE 66 SUITE D GLENDORA, CA 91740 (626) 914-3068	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1285307926	REBECCA YENA CHOI (Individual)	1814 E ROUTE 66 STE B GLENDORA, CA 91740 (626) 963-7000		Non-Participating Provider	NO
1285984948	MARIA MELISSA FRANCISCO, DDS, INC. (Organization)	410 S GLENDORA AVE STE 150 GLENDORA, CA 91741 (626) 963-9112	UnitedHealthcare	Non-Participating Provider	NO
1295223816	YUN YI CHEN (Individual)	410 S GLENDORA AVE STE 210 GLENDORA, CA 91741 (626) 335-5114		Non-Participating Provider	NO
1295227288	RITA T. DERAGOBIAN DDS, INC. (Organization)	1435 E ROUTE 66 STE D GLENDORA, CA 91740 (626) 914-3900	UnitedHealthcare	Non-Participating Provider	NO
1295292340	JACOB JOHNSON HANSEEN (Individual)	175 N PENNSYLVANIA AVE GLENDORA, CA 91741 (626) 963-4173	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1295935328	GEORGE A,. DAVIS, JR., D.D.S., PROFESSIONAL CORPORATION GLENDORA DENTAL SURGERY CENTER (Organization)	906 S GRAND AVE GLENDORA, CA 91740 (626) 852-9500		Non-Participating Provider	NO
1306050455	NOEMI VICENTE, D.D.S., INC. (Organization)	750 W ROUTE 66 STE F GLENDORA, CA 91740 (626) 335-1862	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1316084155	DANIEL EUGENE NORVIEL (Individual)	308 W FOOTHILL BLVD GLENDORA, CA 91741 (626) 335-7575		Non-Participating Provider	NO
1316282981	REEMA M ARNOUK (Individual)	210 S GRAND AVE STE 420 GLENDORA, CA 91741 (626) 963-3322	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1336153287	JAFAR ASSAF (Individual)	610 E ROUTE 66 GLENDORA, CA 91740 (626) 335-7727	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1346374253	JOHN T WANG (Individual)	175 N PENNSYLVANIA AVE STE 2 GLENDORA, CA 91741 (626) 963-1703		Non-Participating Provider	NO
1346465051	VANCE GARY OKAMOTO (Individual)	175 N PENNSYLVANIA AVE #6 GLENDORA, CA 91741 (626) 963-4173	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1346545886	ANAHITA TARAPOREWALLA DASTUR (Individual)	241 S GLENDORA AVE GLENDORA, CA 91741 (626) 852-3750	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	YES
1346586948	BRANDON AU DDS INC NEW VISION DENTAL (Organization)	1814 E ROUTE 66 STE B GLENDORA, CA 91740 (626) 963-7000		Non-Participating Provider	NO
1356641922	GRACE MIJIN KIM (Individual)	1770 S BARRANCA AVE GLENDORA, CA 91740 (626) 339-4600	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1366074130	DR. PAGE HUDSON DENTAL CORPORATION (Organization)	641 W ROUTE 66 SUITE E GLENDORA, CA 91740 (805) 755-4371		Non-Participating Provider	NO
1366161135	JOHN T WANG DDS INC (Organization)	175 N PENNSYLVANIA AVE STE 2 GLENDORA, CA 91741 (626) 963-1703		Non-Participating Provider	NO
1366655524	LOAN PHUONG DAO (Individual)	455 W FOOTHILL BLVD GLENDORA, CA 91741 (626) 914-9808	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1386304335	HASSAN CHAHDA (Individual)	1240 CROWN ST GLENDORA, CA 91740 (216) 647-2137		Non-Participating Provider	NO
1386829927	GUADALIPE N CORDER (Individual)	1435 E ROUTE 66 SUITE D GLENDORA, CA 91740 (626) 914-3900	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1417357518	WADE MELVIN BANNER D.M.D., INC IN MOTION DENTISTS (Organization)	2060 E ROUTE 66 STE 105 GLENDORA, CA 91740 (626) 594-0374	UnitedHealthcare	Non-Participating Provider	NO
1427115013	MARY ANN EBBA (Individual)	836 S GRAND AVENUE GLENDORA, CA 91740 (626) 852-1711	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1427122621	RAEDA KASSAR (Individual)	220 S GLENDORA AVE GLENDORA, CA 91741 (626) 914-4054	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1437568029	ARAKELYAN AZNAVOUR DENTAL CORPORATION (Organization)	175 N PENNSYLVANIA AVE #3 GLENDORA, CA 91741 (626) 786-6204		Non-Participating Provider	NO
1447372354	FRED C WONG (Individual)	408 W BASELINE RD GLENDORA, CA 91740 (626) 852-6999	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1447416680	RON DARDEN DDS & BRYCE DARDEN DDS (Organization)	175 N PENNSYLVANIA AVE STE 1 GLENDORA, CA 91741 (626) 963-6006		Non-Participating Provider	NO
1487129482	OULIANA OGUIENKO (Individual)	605 W ROUTE 66 GLENDORA, CA 91740 (323) 362-8862	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1497410799	RAEDA A. KASSAR DENTAL CORPORATION WOODGLEN DENTAL CENTER (Organization)	220 S. GLENDORA AVE SUITE B GLENDORA, CA 91741 (626) 914-4054		Non-Participating Provider	NO
1508953993	SADHANA T SAVANI (Individual)	2220 E ROUTE 66 STE 107 GLENDORA, CA 91740 (626) 857-4702	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1528105319	FALAMACK ZALTASH D.D.S INC., COVINA DENTAL OFFICE (Organization)	410 S GLENDORA AVE SUITE 150 GLENDORA, CA 91741 (626) 967-6767		Non-Participating Provider	NO
1538226808	BRANDON AU (Individual)	1814 E ROUTE 66 STE B GLENDORA, CA 91740 (626) 963-7000	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1548277510	SHAWKY ANTONIOS YOUNAN SOLIMAN (Individual)	150 S GRAND AVE SUITE #F GLENDORA, CA 91741 (626) 914-3150	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1548316862	FALAMACK ZALTASH (Individual)	410 S GLENDORA AVE STE 150 GLENDORA, CA 91741 (626) 945-4545	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1558606723	ARAKELYAN AZNAVOUR DENTAL CORPORATION (Organization)	175 N PENNSYLVANIA AVE STE 3 GLENDORA, CA 91741 (626) 335-3306		Non-Participating Provider	NO
1598155459	DR. SHAWKY SOLIMAN, INC (Organization)	150 S GRAND AVE STE F GLENDORA, CA 91741 (626) 914-3150	UnitedHealthcare	Non-Participating Provider	NO
1609160498	VERA FARHOUD RAAD (Individual)	130 W ROUTE 66 SUITE 316 GLENDORA, CA 91740 (626) 335-7727	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1619189669	GUY MAXWELL MILLER (Individual)	906 S GRAND AVE GLENDORA, CA 91740 (626) 852-9500	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1659433373	HAGOP JACK MOURSALIAN (Individual)	432 W FOOTHILL BLVD GLENDORA, CA 91741 (626) 335-1507	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1659593259	NATALIA SLUSKY DDS INC (Organization)	210 S GRAND AVE SUITE 308 GLENDORA, CA 91741 (626) 914-0500		Non-Participating Provider	NO
1659689685	AIMEE TARAPOREWALLA (Individual)	241 S GLENDORA AVE GLENDORA, CA 91741 (626) 852-3750	Humana	Non-Participating Provider	NO
1679171938	CHRISTINE SHEHATA, DDS, INC (Organization)	432 W FOOTHILL BLVD GLENDORA, CA 91741 (626) 377-1241	UnitedHealthcare	Non-Participating Provider	NO
1679662894	MARILOU C. ALQUIROS (Individual)	125 W ROUTE 66 GLENDORA, CA 91740 (909) 627-1624	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1710191218	RONALD LEON DARDEN (Individual)	175 N PENNSYLVANIA AVE SUITE #1 GLENDORA, CA 91741 (626) 963-6006		Non-Participating Provider	NO
1710995873	DARYL LORELL MUNSON (Individual)	410 S GLENDORA AVE SUITE 100 GLENDORA, CA 91741 (626) 335-3833		Non-Participating Provider	NO
1720168552	SACHIN PANKAJ DESAI (Individual)	210 S GRAND AVE STE 308 GLENDORA, CA 91741 (626) 914-0500		Non-Participating Provider	NO
1730379314	LOAN K DAO (Individual)	455 W FOOTHILL BLVD GLENDORA, CA 91741 (626) 914-9808	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1740243179	NATALIA SLUSKY (Individual)	210 S GRAND AVE SUITE 308 GLENDORA, CA 91741 (626) 914-0500		Non-Participating Provider	NO
1740366202	JEFFREY C MURPHY (Individual)	625 E ARROW HWY SUITE 5 GLENDORA, CA 91740 (626) 963-1648	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1740684562	MARIAM CLAIRE ARNOUK (Individual)	210 S GRAND AVE SUITE 420 GLENDORA, CA 91741 (316) 300-8959	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1740883032	CHASE JEFFREY MURPHY (Individual)	625 E ARROW HWY STE 5 GLENDORA, CA 91740 (626) 963-1648	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1750814612	DENTAL OFFICE OF JOEL BARETT HENRIOD DDS INC. ALBION DENTAL (Organization)	216 E ROUTE 66 GLENDORA, CA 91740 (626) 335-0134		Non-Participating Provider	NO
1760066427	DR. HU, A PROFESSIONAL DENTAL CORPORATION (Organization)	120 N GRAND AVE GLENDORA, CA 91741 (626) 788-3308		Non-Participating Provider	NO
1760073407	ESQUIVEL D.D.S. DENTAL CORPORATION (Organization)	410 S GLENDORA AVE STE 250 GLENDORA, CA 91741 (626) 963-4464		Non-Participating Provider	NO
1760643100	SACHIN P DESAI DDS INCORPORATED (Organization)	210 S GRAND AVE SUITE # 308 GLENDORA, CA 91741 (626) 914-0500		Non-Participating Provider	NO
1770934481	ROBERT HANNA (Individual)	727 PARKBROOK LN GLENDORA, CA 91741 (626) 664-0753	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1780717942	STEPHEN WARREN BOWEN (Individual)	175 N PENNSYLVANIA AVE STE 2 GLENDORA, CA 91741 (626) 963-1703		Non-Participating Provider	NO
1790358968	YARA CATHRINA ARNOUK (Individual)	210 S GRAND AVE STE 420 GLENDORA, CA 91741 (626) 963-3322	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1790792257	ANNA L. YOUNG (Individual)	410 SOUTH GLENDORA AVE SUITE 210 GLENDORA, CA 91741 (626) 335-5114		Opted out of Medicare	YES
1801012885	FRANCIS PAUL SENISE (Individual)	410 S GLENDORA AVE SUITE 200 GLENDORA, CA 91741 (626) 914-4551		Non-Participating Provider	NO
1801034517	FOREVER SMILES PEDIATRIC DENTISTRY AND ORTHODONTICS (Organization)	641 W ROUTE 66 #E GLENDORA, CA 91740 (909) 896-0509		Non-Participating Provider	NO
1831177369	ANTOINE S. SAYEGH (Individual)	707 W ROUTE 66 SUITE 102 GLENDORA, CA 91740 (626) 963-7581		Non-Participating Provider	YES
1831473719	ELAINE NICOLE CHOW (Individual)	1331 S LONE HILL AVE GLENDORA, CA 91740 (909) 305-1015	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1851134506	GERMAN G JAQUEZ DDS A PROFESSIONAL DENTAL CORPORATION (Organization)	1753 S VALLEY CENTER AVE GLENDORA, CA 91740 (626) 771-0064		Non-Participating Provider	NO
1861526576	STEPHEN W. BOWEN, D.M.D. INC. (Organization)	175 N PENNSYLVANIA AVE STE 2 GLENDORA, CA 91741 (626) 963-1703		Non-Participating Provider	NO
1861852600	JOHN P, BUNKERS DDS (Organization)	2220 E ROUTE 66 #107 GLENDORA, CA 91740 (626) 857-4702		Non-Participating Provider	NO
1861889347	SANG WOO KIM (Individual)	410 S GLENDORA AVE STE 220 GLENDORA, CA 91741 (626) 914-4587	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1871103044	DANIEL S GUINDI DDS INC (Organization)	625 E ARROW HWY STE 4 GLENDORA, CA 91740 (626) 206-0060		Non-Participating Provider	NO
1881628832	HARRY JOHN PAGES (Individual)	641 W ROUTE 66 STE D GLENDORA, CA 91740 (626) 914-3068	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1881703916	LAWRENCE EUGENE LIPKOWSKI (Individual)	2220 E ROUTE 66 107 GLENDORA, CA 91740 (626) 857-4716		Non-Participating Provider	NO
1881740199	SCOTT F TAM (Individual)	413 E ARROW HWY GLENDORA, CA 91740 (626) 914-1888	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1891869996	GARABED G. DEMERJIAN DENTAL CORPORATION G.G. DEMERJIAN DENTAL CORPORATION (Organization)	175 N PENNSYLVANIA AVE STE 4 GLENDORA, CA 91741 (626) 963-6035		Non-Participating Provider	NO
1891884607	VUONG VAN BUI (Individual)	1331 S LONE HILL AVE SUITE #185 GLENDORA, CA 91740 (909) 305-1015	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1902013550	SAN DIMAS DENTAL GROUP JOHN P. BUNKERS, LARRY LIPKOWSKI, SADHANA SAVANI (Organization)	2220 E ROUTE 66 STE 107 GLENDORA, CA 91740 (626) 857-4702		Non-Participating Provider	NO
1912454547	NATALIE SAYEGH (Individual)	102 W. ROUTE 66 SUITE G GLENDORA, CA 91740 (626) 335-1241		Non-Participating Provider	NO
1932578101	GRACE KIM DENTAL CORPORATION ILOVE DENTAL PRACTICE (Organization)	1770 S BARRANCA AVE GLENDORA, CA 91740 (626) 339-4600		Non-Participating Provider	NO
1942594452	WILLIAM J ROUHANA (Individual)	415 W ROUTE 66 STE 102 GLENDORA, CA 91740 (626) 914-0020	Humana	Non-Participating Provider	NO
1952471377	AZUCENA DY TAON (Individual)	216 E ROUTE 66 GLENDORA, CA 91740 (626) 335-0134		Opted out of Medicare	YES
1952512436	GEORGE A. DAVIS, JR., D.D.S., P.C. GLENDORA DENTAL SURGERY CENTE (Organization)	906 S GRAND AVE GLENDORA, CA 91740 (626) 852-9500		Non-Participating Provider	NO
1952718702	WADE M BANNER (Individual)	2060 E ROUTE 66 STE 105 GLENDORA, CA 91740 (626) 594-0374	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1952887820	STEPHANIE SAYEGH (Individual)	102 W ROUTE 66 STE G GLENDORA, CA 91740 (626) 335-1241		Non-Participating Provider	NO
1962616458	BRYCE MASON DARDEN (Individual)	175 N PENNSYLVANIA AVE SUITE #1 GLENDORA, CA 91741 (626) 963-6006		Non-Participating Provider	NO
1972628048	TONY AMMAR SAYEGH (Individual)	102 W ROUTE 66 #G GLENDORA, CA 91740 (626) 335-1241		Non-Participating Provider	NO

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