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Organization
J.C. VELOSA DENTAL CORP
Active
Organization
J.C. VELOSA DENTAL CORP
Active
Other names
LUNA FAMILY DENTAL, DENTAL OFFICE OF J.C VELOSA DENTAL CORP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS VELOSA DDS (DENTIST)
(626) 840-6862
Entity
Organization
Contact information
Practice address
18790 VALLEY BLVD STE D, BLOOMINGTON, CA 92316-2241
(909) 873-5066
(909) 873-9716
Mailing address
18790 VALLEY BLVD STE D, BLOOMINGTON, CA 92316-2241
(909) 873-5066
(909) 873-9716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/28/2021
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