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Organization
DR FLORES FAMILY DENTAL OFFICE PROFESSIONAL CORPORATION
Active
Organization
DR FLORES FAMILY DENTAL OFFICE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS A FLORES DDS (PRESIDENT)
(909) 792-0071
Entity
Organization
Contact information
Practice address
1585 W REDLANDS BLVD, REDLANDS, CA 92373-8023
(909) 792-0071
(909) 307-8310
Mailing address
1585 W REDLANDS BLVD, REDLANDS, CA 92373-8023
(909) 792-0071
(909) 307-8310
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
37823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114949542
PERSONAL NPI
CA
Enumeration date
08/03/2015
Last updated
08/03/2015
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