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Organization
DESAR PROFESSIONAL DENTAL CORPORATION
Active
Organization
DESAR PROFESSIONAL DENTAL CORPORATION
Active
Other names
Victoria Village Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI V DESAR DDS (OWNER)
(951) 276-2222
Entity
Organization
Contact information
Practice address
6700 INDIANA AVE STE 115, RIVERSIDE, CA 92506-4297
(951) 276-2222
(951) 276-2222
Mailing address
6700 INDIANA AVE STE 115, RIVERSIDE, CA 92506-4297
(951) 276-2222
(951) 276-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41395
CA
Other
Enumeration date
02/01/2007
Last updated
09/11/2012
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