| Apple Valley Periodontal Associates | |
|
18092 Wika Rd Ste 210 Apple Valley CA 92307-2132 | |
| (760) 946-2100 | |
| Not Available |
| Full Name | Apple Valley Periodontal Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 18092 Wika Rd Ste 210, Apple Valley, California |
| Authorized Official Name and Position | Caitlyn Kendra Affrunti (PARTNER) |
| Authorized Official Contact | 7609462100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Valley Periodontal Associates 10630 Town Center Dr Ste 125 Rancho Cucamonga CA 91730-6889 Ph: (909) 483-3131 | Apple Valley Periodontal Associates 18092 Wika Rd Ste 210 Apple Valley CA 92307-2132 Ph: (760) 946-2100 |
| NPI Number | 1609536416 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609536416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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