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2560 North Perris Blvd Suite F-1 Perris CA 92571-3226 | |
| (951) 657-6466 | |
| (951) 657-1886 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2560 North Perris Blvd, Perris, California |
| Authorized Official Name and Position | William J Cox (PRESIDENT) |
| Authorized Official Contact | 8006846440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1101 Se Tech Center Drive Ste 195 Vancouver WA 98683-5511 Ph: (800) 684-6440 | 2560 North Perris Blvd Suite F-1 Perris CA 92571-3226 Ph: (951) 657-6466 |
| NPI Number | 1760691174 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760691174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43359 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 26160 (California) | Primary |
Tejas Modi Dds Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 75 W Nuevo Rd Ste A&b, Perris, CA 92571 Phone: 951-657-1203 | |
Chung Kim Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E 4th St, Suite A, Perris, CA 92570 Phone: 951-657-3102 Fax: 951-657-7783 | |
Soonhyuk Chang Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Avocado Ave Ste 202, Perris, CA 92571 Phone: 951-940-0202 Fax: 951-943-4844 | |