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Organization

JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN ANTONIO T. TREJO CANCHOLA DDS (MANAGING DENTIST)
(951) 842-0803
Entity
Organization

Contact information

Practice address
9867 MAGNOLIA AVE STE E, RIVERSIDE, CA 92503-3519
(951) 352-2112
(951) 352-2088
Mailing address
9867 MAGNOLIA AVE STE E, RIVERSIDE, CA 92503-3519
(951) 352-2112
(951) 352-2088

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
61049
CA

Other

Enumeration date
07/16/2014
Last updated
07/16/2014
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