Organization
MISSION DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPHELIA GARCIA- ADEMCZUK D.D.S (OWNER)
(951) 681-6611
Entity
Organization
Contact information
Practice address
8992 MISSION BLVD, SUITE A, RIVERSIDE, CA 92509-2874
(951) 681-6611
(951) 681-6611
Mailing address
8992 MISSION BLVD, SUITE A, RIVERSIDE, CA 92509-2874
(951) 681-6611
(951) 681-6611
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
36540
CA
Other
Enumeration date
05/10/2007
Last updated
08/15/2007
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