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Organization
INLAND DENTISTRY, INC
Active
Organization
INLAND DENTISTRY, INC
Active
Other names
MANUEL ARTEAGA/ANGEL BOLOICO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANUEL R ARTEAGA D.D.S. (DENTIST/OWNER)
(951) 352-7260
Entity
Organization
Contact information
Practice address
10411 MAGNOLIA AVE, SUITE A, RIVERSIDE, CA 92505-1894
(951) 352-7260
(951) 352-6237
Mailing address
10411 MAGNOLIA AVE, SUITE A, RIVERSIDE, CA 92505-1894
(951) 352-7260
(951) 352-6237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
719157
UNITED CONCORDIA
CA
Enumeration date
06/23/2009
Last updated
06/23/2009
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