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DR. CASEY CHING LA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
12448 ORANGEBLOSSOM LN, RIVERSIDE, CA 92503-7057
(951) 329-0372
Mailing address
12448 ORANGEBLOSSOM LN, RIVERSIDE, CA 92503-7057
(951) 329-0372

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109006
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/28/2023
Last updated
10/18/2024
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