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Organization
PERRIS DENTAL
Active
Organization
PERRIS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASHINGTON CULLAMPE DDS (OWNER)
(951) 657-9965
Entity
Organization
Contact information
Practice address
2055 N PERRIS BLVD, STE E-12, PERRIS, CA 92571-2509
(951) 657-9965
(951) 657-6682
Mailing address
2055 N PERRIS BLVD, STE E-12, PERRIS, CA 92571-2509
(951) 657-9965
(951) 657-6682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49507
CA
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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