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Organization
JPRWIGEMA DENTAL CORPORATION
Active
Organization
JPRWIGEMA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN PIERRE RWIGEMA DDS (CEO)
(818) 785-4282
Entity
Organization
Contact information
Practice address
14547 TITUS STREET, SUITE 207, PANORAMA CITY, CA 91402
(818) 785-4282
(818) 785-8704
Mailing address
14547 TITUS STREET, SUITE 207, PANORAMA CITY, CA 91402
(818) 785-4282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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