Organization
EKINOMO ODUFALU DENTAL INC
Active
Other names
tri-city family dental
Organization subpart
No
Provider details
NPI number
Authorized official
EKINOMO ODUFALU (PRESIDENT)
(951) 515-2985
Entity
Organization
Contact information
Practice address
1402 INDUSTRIAL PARK AVE, REDLANDS, CA 92374-4517
(909) 798-5777
Mailing address
1402 INDUSTRIAL PARK AVE, REDLANDS, CA 92374-4517
(909) 798-5777
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
45799
CA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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