Organization
FRANCISCO C ENVERGA DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO C ENVERGA DDS (OWNER/PRESIDENT)
(909) 923-7881
Entity
Organization
Contact information
Practice address
2508 S GROVE AVE, ONTARIO, CA 91761-6253
(909) 923-7881
Mailing address
2508 S GROVE AVE, ONTARIO, CA 91761-6253
(909) 923-7881
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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