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Organization
SUSAN R. REAL-RAZ, DMD, INC.
Active
Organization
SUSAN R. REAL-RAZ, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ROSETES REAL-RAZ DMD (PRESIDENT/OWNER)
(951) 486-0119
Entity
Organization
Contact information
Practice address
12725 PERRIS BLVD, MORENO VALLEY, CA 92553-4110
(951) 486-0116
(951) 486-9143
Mailing address
12725 PERRIS BLVD, MORENO VALLEY, CA 92553-4110
(951) 486-0116
(951) 486-9143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42402
CA
Other
Enumeration date
08/30/2010
Last updated
02/19/2020
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