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Organization

COMPEAN AND JEFFERSON DENTAL CORPORATION

Active
Other names
Triangle Dental Group And Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS COMPEAN DDS (OWNER DDS)
(909) 355-1700
Entity
Organization

Contact information

Practice address
14305 BASELINE AVE, FONTANA, CA 92336-3631
(909) 355-1700
(909) 355-1707
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/29/2006
Last updated
03/19/2015
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