Organization
LIBERTY VILLAGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY TORRES (MANAGER)
(760) 955-2273
Entity
Organization
Contact information
Practice address
13790 BEAR VALLEY RD, E5, VICTORVILLE, CA 92392-8699
(760) 955-2273
(760) 955-0034
Mailing address
13790 BEAR VALLEY RD, E5, VICTORVILLE, CA 92392-8699
(760) 955-2273
(760) 955-0034
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
35018
CA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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