Organization
REDFORD MENIFEE DENTAL CORPORATION
Active
Other names
Legacy Dental of Menifee
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ROGERS (OFFICE MANAGER)
(951) 677-5113
Entity
Organization
Contact information
Practice address
27701 SCOTT RD STE 107, MENIFEE, CA 92584-9434
(951) 301-6100
Mailing address
27701 SCOTT RD STE 107, MENIFEE, CA 92584-9434
(951) 301-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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