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Individual

DR. JAMES S MINUTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
770 MAGNOLIA AVE SUITE 2-E, CORONA, CA 92879-3122
(951) 279-7847
(951) 279-7422
Mailing address
16574 BRIGHTRIDGE LN, RIVERSIDE, CA 92503-9702
(951) 359-1472
(951) 279-7422

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
035298
CA

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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