Organization
MAGALY M VELASQUEZ DDS PROFESSIONAL DENTAL CORP
Active
Other names
U - First Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGALY M VELASQUEZ DDS (OWNER/CEO)
(909) 466-4999
Entity
Organization
Contact information
Practice address
9130 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-3449
(909) 466-4999
Mailing address
9130 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-3449
(909) 466-4999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60169
CA
Other
Enumeration date
03/12/2013
Last updated
07/28/2015
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