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Organization
VALLEY FAMILY DENTAL GROUP
Active
Organization
VALLEY FAMILY DENTAL GROUP
Active
Other names
Valley Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN EDWARD PULASKI (MANAGER)
(562) 414-0001
Entity
Organization
Contact information
Practice address
10800 PARAMOUNT BLVD STE 305, DOWNEY, CA 90241-3324
(562) 414-0001
Mailing address
10800 PARAMOUNT BLVD STE 305, DOWNEY, CA 90241-3324
(562) 414-0001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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