Organization
MARIA LOURDES IGNACIO JETURIAN DDS INC
Active
Other names
Green River Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO JETURIAN (CHIEF FINANCIAL OFFICER)
(714) 609-9119
Entity
Organization
Contact information
Practice address
4300 GREEN RIVER RD STE 105, CORONA, CA 92878-2306
(951) 898-7652
Mailing address
4300 GREEN RIVER RD STE 105, CORONA, CA 92878-2306
(951) 898-7652
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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