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Organization
EDWARD J FORMICA D.D.S., INC.
Active
Organization
EDWARD J FORMICA D.D.S., INC.
Active
Other names
Formica Family Dental Practice Edward J Formica DDS, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J FORMICA DDS (CEO/PRESIDENT)
(951) 925-6444
Entity
Organization
Contact information
Practice address
1303 S STATE ST, HEMET, CA 92543-7624
(951) 925-6444
(951) 848-9443
Mailing address
26580 RIO VISTA DR, HEMET, CA 92544-6772
(951) 235-1438
(951) 848-9443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
07/09/2024
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