Organization
RIVERWALK FACIAL AND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S DEAN DDS, MD (PRESIDENT)
(909) 327-8818
Entity
Organization
Contact information
Practice address
4234 RIVERWALK PKWY, SUITE 140, RIVERSIDE, CA 92505-8510
(909) 327-8818
Mailing address
4234 RIVERWALK PKWY, SUITE 140, RIVERSIDE, CA 92505-8510
(909) 327-8818
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
59436
CA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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