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Organization
HERNANDO SUAREZ DDS,INC
Active
Organization
HERNANDO SUAREZ DDS,INC
Active
Other names
Maranatha Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERNANDO SUAREZ DDS (OWNER)
(714) 537-7773
Entity
Organization
Contact information
Practice address
17157 SPRING CANYON PL, RIVERSIDE, CA 92503-0234
(951) 353-2873
Mailing address
13252 CENTURY BLVD, SUITE Q, GARDEN GROVE, CA 92843-1256
(714) 537-7773
(714) 537-7755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48384
CA
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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