Organization
FENNY VIRGIN, DDS, INC.
Active
Other names
CHINO SPECTRUM DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
FENNY VIRGIN DDS (PRESIDENT)
(909) 627-9996
Entity
Organization
Contact information
Practice address
4036 GRAND AVE, SUITE D, CHINO, CA 91710-5487
(909) 627-9996
(909) 517-1035
Mailing address
4036 GRAND AVE, SUITE D, CHINO, CA 91710-5487
(909) 627-9996
(909) 517-1035
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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