Organization
PEMA DENTAL CORP
Active
Other names
brea dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILESH PEMA D.D.S (OWNER)
(714) 257-0330
Entity
Organization
Contact information
Practice address
782 NORTH BREA BOULEVARD, BREA, CA 92821-3334
(714) 257-0330
(714) 257-0550
Mailing address
782 N BREA BLVD, BREA, CA 92821-3334
(714) 257-0330
(714) 257-0550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48536
CA
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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