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Organization
P. TIEMPETPAISAL DDS INC
Active
Organization
P. TIEMPETPAISAL DDS INC
Active
Other names
Soft Care Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PANADDA TIEMPETPAISAL DDS (OWNER)
(951) 963-4297
Entity
Organization
Contact information
Practice address
910 WASHBURN AVE, SUITE D, CORONA, CA 92882-4383
(951) 963-4297
Mailing address
199 OLDENBURG LN, NORCO, CA 92860-3953
(951) 963-4297
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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