# A RINCON DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053960575
- **Authorized official:** MARIA WELBOURNE (OFFICE MANAGER)
- **Authorized official phone:** (951) 674-4800

## Contact information

- **Practice address:** 2503 E LAKESHORE DR STE E, LAKE ELSINORE, CA 92530-4433
- **Practice address phone:** (951) 674-4800
- **Practice address fax:** (951) 674-4833
- **Mailing address:** 2503 E LAKESHORE DR STE E, LAKE ELSINORE, CA 92530-4433
- **Mailing address phone:** (951) 674-4800
- **Mailing address fax:** (951) 674-4833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 09/06/2019