Organization
RWIGEMA DENTAL CORPORATION
Active
Other names
JR Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA UMUTANGANA (PERSONAL ASSISTANT)
(661) 290-3355
Entity
Organization
Contact information
Practice address
23501 CINEMA DR STE 112, VALENCIA, CA 91355-5429
(661) 290-3355
(661) 290-2333
Mailing address
23501 CINEMA DR STE 112, VALENCIA, CA 91355-5429
(661) 290-3355
(661) 290-2333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
62254
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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