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Individual

DR. JUAN E MEJIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10001 INDIANA AVE, RIVERSIDE, CA 92503-5412
(951) 689-0701
Mailing address
14259 DOVE CANYON DR, RIVERSIDE, CA 92503-6428
(951) 505-0588

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48644
CA

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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