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Organization
REDLANDS DENTAL ASSOCIATES
Active
Organization
REDLANDS DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA A KOGAN DDS (DENTIST/OWNER)
(909) 793-5270
Entity
Organization
Contact information
Practice address
860 W REDLANDS BLVD # 105, REDLANDS, CA 92373-8010
(909) 793-5270
(909) 793-7679
Mailing address
860 W REDLANDS BLVD # 105, REDLANDS, CA 92373-8010
(909) 793-5270
(909) 793-7679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8948701
DENTIST
CA
Enumeration date
06/11/2008
Last updated
06/11/2008
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