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Organization
ALLA FUCHS DDS A PROF CORP
Active
Organization
ALLA FUCHS DDS A PROF CORP
Active
Other names
dba Lemon Grove Family Dental Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLA FUCHS DDS (DENTIST PRESIDENT)
(619) 464-2944
Entity
Organization
Contact information
Practice address
7441 BROADWAY, LEMON GROVE, CA 91945-1603
(619) 464-2944
(619) 464-2952
Mailing address
7441 BROADWAY, LEMON GROVE, CA 91945-1603
(619) 464-2944
(619) 464-2952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3113101
MEDI CAL
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
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