Organization
CARMY MICHAEL, DDS CORP.
Active
Other names
Dental Care of Rialto
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMY GABRIEL MICHAEL DDS (CEO)
(714) 874-6069
Entity
Organization
Contact information
Practice address
1817 N RIVERSIDE AVE, RIALTO, CA 92376-8069
(909) 879-1024
Mailing address
1817 N RIVERSIDE AVE, RIALTO, CA 92376-8069
(909) 879-1024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12-4767679
—
MI
05
—
1730216599
—
MI
Enumeration date
07/31/2018
Last updated
07/12/2024
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