Organization
WEST COAST DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN NICOLE CARREON (REGISTERED DENTAL ASSISTANT)
(951) 318-2013
Entity
Organization
Contact information
Practice address
31419 SUNSET AVE, NUEVO, CA 92567-8956
(951) 318-2013
Mailing address
31419 SUNSET AVE, NUEVO, CA 92567-8956
(951) 318-2013
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
76905
CA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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