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Organization
SUN DENTAL OFFICE OF DR. CERVANTES
Active
Organization
SUN DENTAL OFFICE OF DR. CERVANTES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CERVANTES DDS (OWNER)
(760) 353-5100
Entity
Organization
Contact information
Practice address
2387 US HIGHWAY 86, IMPERIAL, CA 92251-9780
(760) 353-5100
(760) 353-0576
Mailing address
2387 US HIGHWAY 86, IMPERIAL, CA 92251-9780
(760) 353-5100
(760) 353-0576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34071
CA
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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