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Organization

MIGUEL URIBE D.D.S INC D.B.A SANTA CRUZ DENTAL

Active
Other names
Santa Cruz Dental Office
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIGUEL URIBE D.D.S (PRESIDENT)
(909) 874-7421
Entity
Organization

Contact information

Practice address
228 W BASE LINE RD, RIALTO, CA 92376-3306
(909) 874-7421
(909) 879-1075
Mailing address
228 W BASE LINE RD, RIALTO, CA 92376-3306
(909) 874-7421
(909) 879-1075

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44113
CA

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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