Individual
CORACEL SURATOS TEMPLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9349 FOOTHILL BLVD STE B, RANCHO CUCAMONGA, CA 91730-3567
(909) 980-6363
Mailing address
9349 FOOTHILL BLVD STE B, RANCHO CUCAMONGA, CA 91730-3567
(909) 980-6363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45536
CA
Other
Enumeration date
12/04/2006
Last updated
05/23/2014
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