# MAGALY M VELASQUEZ DDS PROFESSIONAL DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** U - First Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053652396
- **Authorized official:** DR. MAGALY M VELASQUEZ DDS (OWNER/CEO)
- **Authorized official phone:** (909) 466-4999

## Contact information

- **Practice address:** 9130 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-3449
- **Practice address phone:** (909) 466-4999
- **Mailing address:** 9130 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-3449
- **Mailing address phone:** (909) 466-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 60169 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 07/28/2015
