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Organization
A1 DENTAL
Active
Organization
A1 DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHIL DEEPAK (DDS)
(760) 962-8585
Entity
Organization
Contact information
Practice address
12353 MARIPOSA RD, SUITE- D1, VICTORVILLE, CA 92395-6000
(760) 962-8585
Mailing address
12353 MARIPOSA RD STE D1, VICTORVILLE, CA 92395-6015
(760) 962-8585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59867
CA
Other
Enumeration date
06/22/2014
Last updated
02/20/2015
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