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Organization
ROQUIZ AND DHAMA DENTAL CORPORATION
Active
Organization
ROQUIZ AND DHAMA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R ROQUIZ (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
3955 BEDFORD CANYON RD., SUITE 101, CORONA, CA 92883
(951) 339-1946
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
01/05/2022
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