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Organization
TIBBITTS MENIFEE DENTAL GROUP
Active
Organization
TIBBITTS MENIFEE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ANN ROGERS (OFFICE ASSISTANT)
(951) 677-5113
Entity
Organization
Contact information
Practice address
27701 SCOTT RD STE 107, MENIFEE, CA 92584-9434
(951) 301-6100
(951) 301-3669
Mailing address
27701 SCOTT RD STE 107, MENIFEE, CA 92584-9434
(951) 301-6100
(951) 301-3669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53656
CA
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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