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2083 Compton Ave #204 Corona CA 92881 | |
| (951) 735-5588 | |
| (951) 735-2968 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2083 Compton Ave, Corona, California |
| Authorized Official Name and Position | Peter S. Brightman (OWNER) |
| Authorized Official Contact | 9517355588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2083 Compton Ave #204 Corona CA 92881 Ph: (951) 735-5588 | 2083 Compton Ave #204 Corona CA 92881 Ph: (951) 735-5588 |
| NPI Number | 1629629720 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629629720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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