Organization
MOSHE BENARROCHDMD A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE BENARROCH DMD (PRESIDENT / OWNER)
(661) 222-7762
Entity
Organization
Contact information
Practice address
23838 VALENCIA BLVD, SUITE 230, VALENCIA, CA 91355-5319
(661) 222-7762
(661) 799-0168
Mailing address
23838 VALENCIA BLVD, SUITE 230, VALENCIA, CA 91355-5319
(661) 222-7762
(661) 799-0168
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12564281
CAQH
—
Enumeration date
07/16/2013
Last updated
07/16/2013
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