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Organization
PORE DENTAL GROUP, INC
Active
Organization
PORE DENTAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHANESH R PORE D.D.S. (OWNER)
(951) 506-6872
Entity
Organization
Contact information
Practice address
31205 PAUBA RD, #205, TEMECULA, CA 92592-6220
(951) 506-6872
(951) 506-4712
Mailing address
31205 PAUBA RD, #205, TEMECULA, CA 92592
(951) 506-6872
(951) 506-4712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44063
CA
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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