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Organization
REDFORD MENIFEE DENTAL CORPORATION
Active
Organization
REDFORD MENIFEE DENTAL CORPORATION
Active
Other names
Legacy Dental of Menifee
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ROGERS (OFFICE MANAGER)
(951) 677-5113
Entity
Organization
Contact information
Practice address
27701 SCOTT RD STE 107, MENIFEE, CA 92584-9434
(951) 301-6100
Mailing address
27701 SCOTT RD STE 107, MENIFEE, CA 92584-9434
(951) 301-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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