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Organization

TIBBITTS FALLBROOK DENTAL GROUP

Active
Other names
Tibbitts Fallbrook Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE ROGERS (OFFICE MANAGER)
(951) 677-5113
Entity
Organization

Contact information

Practice address
521 E ELDER ST STE 203, FALLBROOK, CA 92028-3083
(760) 728-1592
Mailing address
521 E ELDER ST STE 203, FALLBROOK, CA 92028-3083
(760) 728-1592

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/31/2019
Last updated
03/10/2023
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