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Organization
MYRNA AGUILAR DENTAL CORPORATION
Active
Organization
MYRNA AGUILAR DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX RAMOS (DISTICT MANAGER)
(619) 307-8693
Entity
Organization
Contact information
Practice address
27625 JEFFERSON AVE, STE 104, TEMECULA, CA 92590-2619
(951) 695-3274
(951) 695-3275
Mailing address
27625 JEFFERSON AVE, STE 104, TEMECULA, CA 92590-2619
(951) 695-3274
(951) 695-3275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55630
CA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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