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Organization
LUIS ALFREDO VELAZQUEZ, D.D.S. INC.
Active
Organization
LUIS ALFREDO VELAZQUEZ, D.D.S. INC.
Active
Other names
Velazquez Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALFREDO VELAZQUEZ D.D.S. (PRESIDENT)
(951) 446-9318
Entity
Organization
Contact information
Practice address
8977 FOOTHILL BLVD STE F, RANCHO CUCAMONGA, CA 91730-3498
(951) 446-9318
Mailing address
7675 NEWBERRY LN, FONTANA, CA 92336-4249
(951) 446-9318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/28/2020
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