Individual
DR. ABRAHAM NILTON DEZA ROLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24561 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-3918
(951) 242-9857
Mailing address
24561 ALESSANDRO BLVD, MORENO VALLEY, CA 92553
(951) 242-9857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101117
CA
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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