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Organization
DEXTER DENTAL GROUP
Active
Organization
DEXTER DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA CHAVEZ RDA (ASSISTANT)
(760) 242-0697
Entity
Organization
Contact information
Practice address
19195 OUTER HWY 18 SUITE 201, APPLE VALLEY, CA 92307-9230
(760) 242-0796
(760) 946-3814
Mailing address
19195 OUTER HWY 18 STE 201, APPLE VALLEY, CA 92307-2562
(760) 242-0796
(760) 946-3814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49870
CA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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