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Organization
SUNSHINEDENTALGROUPOF JORGEANGEL VILLASENORDDSDENTALCORP
Active
Organization
SUNSHINEDENTALGROUPOF JORGEANGEL VILLASENORDDSDENTALCORP
Active
Parent organization
JORGE A VILLASENOR
Other names
SUNSHINE DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
JORGE A VILLASENOR
Authorized official
JORGE A VILLASENOR (OWNER)
(626) 579-4274
Entity
Organization
Contact information
Practice address
4161 TYLER AVE, EL MONTE, CA 91731-1966
(626) 579-4274
Mailing address
4161 TYLER AVE, EL MONTE, CA 91731-1966
(626) 579-4274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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