| NPI | 1992915524 |
|---|---|
| Doing Business As | MURRIETA FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LUZ V MATHIS Office Mgr 951-677-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 39195) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 45279) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 37338) | |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 52057) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 45262) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 23125) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-12-13 |