| NPI | 1184718967 |
|---|---|
| Doing Business As | SOUTH CORONA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLES F RODGERS Owner Dds 951-273-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35324) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 43860) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 50080) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |