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Organization

JURUPA VALLEY DENTAL GROUP, INC.

Active
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Organization

JURUPA VALLEY DENTAL GROUP, INC.

Active
Other names
Jurupa Valley Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY LA DMD (OWNER)
(951) 592-3453
Entity
Organization

Contact information

Practice address
6348 MISSION BLVD, UNIT 106, JURUPA VALLEY, CA 92509
(951) 592-3453
(951) 335-8218
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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