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Organization
PEMA PROFESSIONAL DENTAL CORP
Active
Organization
PEMA PROFESSIONAL DENTAL CORP
Active
Other names
fountain valley dental esthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILESH PEMA DDS (OWNER)
(714) 887-4337
Entity
Organization
Contact information
Practice address
17900 BROOKHURST ST, SUITE A, FOUNTAIN VALLEY, CA 92708
(714) 887-4337
(714) 889-4339
Mailing address
17900 BROOKHURST ST, SUITE A, FOUNTAIN VALLEY, CA 92708
(714) 887-4337
(714) 889-4339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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