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12636 Limonite Ave 1a & 1b Eastvale CA 92880-4200 | |
| (951) 808-9354 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 12636 Limonite Ave, Eastvale, California |
| Authorized Official Name and Position | Lorilee Schmidt (PRESIDENT) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Spectrum Center Dr Ste 1500 Irvine CA 92618-4984 Ph: (714) 578-6358 | 12636 Limonite Ave 1a & 1b Eastvale CA 92880-4200 Ph: (951) 808-9354 |
| NPI Number | 1609235308 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609235308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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