Organization
APPLE VALLEY PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN KENDRA AFFRUNTI (PARTNER)
(760) 946-2100
Entity
Organization
Contact information
Practice address
18092 WIKA RD STE 210, APPLE VALLEY, CA 92307-2132
(760) 946-2100
Mailing address
10630 TOWN CENTER DR STE 125, RANCHO CUCAMONGA, CA 91730-6889
(909) 483-3131
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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