Organization
MY DENTIST AND ME PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MIN DDS (PARTNER)
(712) 574-3307
Entity
Organization
Contact information
Practice address
5225 CANYON CREST DR, #309, RIVERSIDE, CA 92507-6301
(712) 574-3307
Mailing address
5225 CANYON CREST DR, #309, RIVERSIDE, CA 92507-6301
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
56036
CA
1223P0221X
Pediatric Dentistry
Primary
61151
CA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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