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Organization
JORGE HERNANDEZ ZAMUDIO PC
Active
Organization
JORGE HERNANDEZ ZAMUDIO PC
Active
Other names
Friendly Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE HERNANDEZ ZAMUDIO DDS (OWNER - DENTIST)
(951) 894-7769
Entity
Organization
Contact information
Practice address
28314 OLD TOWN FRONT ST, TEMECULA, CA 92590
(951) 676-8920
(951) 676-8976
Mailing address
28314 OLD TOWN FRONT ST, TEMECULA, CA 92590
(951) 676-8920
(951) 676-8976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9301201
—
CA
05
—
G9301202
—
CA
Enumeration date
01/04/2007
Last updated
08/22/2020
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