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Organization
FRANCISCO D FORES DMD
Active
Organization
FRANCISCO D FORES DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY BRAGANZA (CREDENTIALING AND BILLING MANAGER)
(562) 341-4786
Entity
Organization
Contact information
Practice address
414 TENNESSEE ST STE K1, REDLANDS, CA 92373-8152
(661) 917-0507
Mailing address
414 TENNESSEE ST STE K1, REDLANDS, CA 92373-8152
(661) 917-0507
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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