Organization
VALLEY FAMILY DENTAL GROUP
Active
Other names
Valley Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN EDWARD PULASKI (MANAGER)
(562) 414-0001
Entity
Organization
Contact information
Practice address
10800 PARAMOUNT BLVD STE 305, DOWNEY, CA 90241-3324
(562) 414-0001
Mailing address
10800 PARAMOUNT BLVD STE 305, DOWNEY, CA 90241-3324
(562) 414-0001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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