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Organization
HART FAMILY DENTAL
Active
Organization
HART FAMILY DENTAL
Active
Parent organization
HART FAMILY DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
HART FAMILY DENTAL
Authorized official
CICI M MANTHEY (OFFICE MANAGER)
(760) 329-6713
Entity
Organization
Contact information
Practice address
56728 29 PALMS HWY, YUCCA VALLEY, CA 92284-2941
(760) 365-6595
Mailing address
56728 29 PALMS HWY, YUCCA VALLEY, CA 92284-2941
(760) 365-6595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30554
CA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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