NPI | 1588850622 |
---|---|
Doing Business As | FAMILY DENTISTRY OF TEMECULA VALLEY |
Entity Type | Organization |
Authorized Contact | CARMELITA SY-PRUDENCIO Owner/Dentist 951-693-5220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41131) |
Enumeration Date | 2007-09-22 |
Last Update Date | 2007-09-22 |