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Organization
PRIORITY DENTAL CARE,DENTAL OFFICE OF CHING-ROO CHI
Active
Organization
PRIORITY DENTAL CARE,DENTAL OFFICE OF CHING-ROO CHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHING-ROO TONY CHI DDS, BDS (DENTIST)
(951) 688-6000
Entity
Organization
Contact information
Practice address
4595 LA SIERRA AVE, RIVERSIDE, CA 92505-2900
(951) 688-6000
(951) 688-6088
Mailing address
4595 LA SIERRA AVE, RIVERSIDE, CA 92505-2900
(951) 688-6000
(951) 688-6088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40066
DENTIST
CA
01
—
G91131-01
DENTICAL
CA
Enumeration date
04/14/2009
Last updated
03/07/2023
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