| Jr Dental | |
|
23501 Cinema Dr Ste 112 Valencia CA 91355-5429 | |
| (661) 290-3355 | |
| (661) 290-2333 |
| Full Name | Jr Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23501 Cinema Dr Ste 112, Valencia, California |
| Authorized Official Name and Position | Gloria Umutangana (PERSONAL ASSISTANT) |
| Authorized Official Contact | 6612903355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jr Dental 23501 Cinema Dr Ste 112 Valencia CA 91355-5429 Ph: (661) 290-3355 | Jr Dental 23501 Cinema Dr Ste 112 Valencia CA 91355-5429 Ph: (661) 290-3355 |
| NPI Number | 1669950630 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669950630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 62254 (California) | Primary |
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