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Organization
HAWATMEH DENTAL GROUP PC
Active
Organization
HAWATMEH DENTAL GROUP PC
Active
Other names
Bravo Dental Group of Corona
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYED HAWATMEH (CEO)
(951) 898-9223
Entity
Organization
Contact information
Practice address
1185 MAGNOLIA AVE, #K, CORONA, CA 92879-3218
(951) 898-9223
(951) 898-6985
Mailing address
1185 MAGNOLIA AVE, #K, CORONA, CA 92879-3218
(951) 898-9223
(951) 898-6985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982000923
—
CA
Enumeration date
04/19/2017
Last updated
12/18/2019
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