Individual
DR. CARMELITA A. SY-PRUDENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
29760 RANCHO CALIFORNIA RD, SUITE 108, TEMECULA, CA 92591-5288
(951) 693-5220
(951) 693-5222
Mailing address
31099 KAHWEA ST, TEMECULA, CA 92591-1790
(951) 676-6122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41131
CA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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