Organization
JOSE ENRIQUE AREVALO DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ENRIQUE AREVALO D.D.S (PRESIDENT/ DENTIST)
(909) 465-6861
Entity
Organization
Contact information
Practice address
13161 PEYTON DR, SUITE B, CHINO HILLS, CA 91709-6006
(909) 465-6861
(909) 465-6867
Mailing address
13161 PEYTON DR, SUITE B, CHINO HILLS, CA 91709-6006
(909) 465-6861
(909) 465-6867
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49453
CA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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