Organization
CHILDRENS DENTAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NUMA FERNANDO MUNOZ DDS (PRESIDENT)
(909) 553-4500
Entity
Organization
Contact information
Practice address
14976 FOOTHILL BLVD STE 100, FONTANA, CA 92335-7045
(909) 350-8730
(909) 350-8732
Mailing address
580 STARLIGHT CT, REDLANDS, CA 92374-6393
(909) 350-8730
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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