# DMITRY Y TSVETOV DDS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temecula Facial and Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528302460
- **Authorized official:** DMITRY Y TSVETOV DDS, MD (OWNER)
- **Authorized official phone:** (877) 667-7669

## Contact information

- **Practice address:** 31560 RANCHO PUEBLO RD, 101, TEMECULA, CA 92592-4858
- **Practice address phone:** (951) 302-9100
- **Mailing address:** PO BOX 269006, OKLAHOMA CITY, OK 73126-9006
- **Mailing address phone:** (877) 667-7669
- **Mailing address fax:** (405) 848-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 48863 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 03/27/2013