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12636 Limonite Ave Ste 1a Corona CA 92880-4200 | |
| (951) 808-4323 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12636 Limonite Ave Ste 1a, Corona, 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 Drive Suite 1500 Irvine CA 92618-4200 Ph: (714) 578-6358 | 12636 Limonite Ave Ste 1a Corona CA 92880-4200 Ph: (951) 808-4323 |
| NPI Number | 1063617330 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063617330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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