| 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 |