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Organization

DR DEZA ROLANDO DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABRAHAM NILTON DEZA ROLANDO (DENTIST/ DIRECTOR)
(951) 652-0056
Entity
Organization

Contact information

Practice address
920 N STATE ST, HEMET, CA 92543-1473
(951) 652-0056
Mailing address
920 N STATE ST, HEMET, CA 92543-1473
(951) 652-0056

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
CA

Other

Enumeration date
01/17/2018
Last updated
01/17/2018
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