| J.c. Velosa Dental Corp | |
|
18790 Valley Blvd Ste D Bloomington CA 92316-2241 | |
| (909) 873-5066 | |
| (909) 873-9716 |
| Full Name | J.c. Velosa Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18790 Valley Blvd Ste D, Bloomington, California |
| Authorized Official Name and Position | Juan Carlos Velosa (DENTIST) |
| Authorized Official Contact | 6268406862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.c. Velosa Dental Corp 18790 Valley Blvd Ste D Bloomington CA 92316-2241 Ph: (909) 873-5066 | J.c. Velosa Dental Corp 18790 Valley Blvd Ste D Bloomington CA 92316-2241 Ph: (909) 873-5066 |
| NPI Number | 1770165953 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770165953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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