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Organization

DR. CARMELITA SY-PRUDENCIO PROFESSIONAL DENTAL CORP.

Active
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Organization

DR. CARMELITA SY-PRUDENCIO PROFESSIONAL DENTAL CORP.

Active
Other names
Family Dentistry of Temecula Valley
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARMELITA SY-PRUDENCIO DMD (OWNER/DENTIST)
(951) 693-5220
Entity
Organization

Contact information

Practice address
29760 RANCHO CALIFORNIA RD, SUITE 108, TEMECULA, CA 92591-5288
(951) 693-5220
(951) 693-5222
Mailing address
29760 RANCHO CALIFORNIA RD, SUITE 108, TEMECULA, CA 92591-5288
(951) 693-5220
(951) 693-5222

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41131
CA

Other

Enumeration date
09/22/2007
Last updated
09/22/2007
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