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Organization
FENNY VIRGIN, DDS, INC.
Active
Organization
FENNY VIRGIN, DDS, INC.
Active
Other names
CHINO SPECTRUM DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
FENNY VIRGIN DDS (PRESIDENT)
(909) 627-9996
Entity
Organization
Contact information
Practice address
4036 GRAND AVE, SUITE D, CHINO, CA 91710-5487
(909) 627-9996
(909) 517-1035
Mailing address
4036 GRAND AVE, SUITE D, CHINO, CA 91710-5487
(909) 627-9996
(909) 517-1035
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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