| Michael Vincent Laureola Dds Inc | |
|
2862 Unit A Canyon Springs Parkway Riverside CA 92507 | |
| (951) 214-4994 | |
| (951) 214-4995 |
| Full Name | Michael Vincent Laureola Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2862 Unit A Canyon Springs Parkway, Riverside, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3104094225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Vincent Laureola Dds Inc 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | Michael Vincent Laureola Dds Inc 2862 Unit A Canyon Springs Parkway Riverside CA 92507 Ph: (951) 214-4994 |
| NPI Number | 1518577972 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518577972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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