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Organization
DENTAL HEALTH RIVERSIDE
Active
Organization
DENTAL HEALTH RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA VALENZUELA (AREA MANAGER)
(951) 369-3597
Entity
Organization
Contact information
Practice address
6339 BROCKTON AVE, RIVERSIDE, CA 92506-2031
(951) 369-3597
(951) 369-0487
Mailing address
6339 BROCKTON AVE, RIVERSIDE, CA 92506-2031
(951) 369-3597
(951) 369-0487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53592
CA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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