Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Botox Fillers Dermatology Inc

Organization Clinic/Center · NPI 1689567125

Botox Fillers Dermatology Inc is a Clinic/Center in Rancho Cucamonga, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10601 Church St Ste 123
Rancho Cucamonga, CA 91730-6840
Phone: (909) 321-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1689567125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Opai-Tetteh — Owner · (424) 420-3461
NPI enumeratedJune 2, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address10601 Church St Ste 123, Rancho Cucamonga, CA 91730-6840

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