| Overland Dental Practice | |
|
41653 Margarita Rd Ste 107 Temecula CA 92591-3000 | |
| (951) 695-8711 | |
| Not Available |
| Full Name | Overland Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 41653 Margarita Rd Ste 107, Temecula, California |
| Authorized Official Name and Position | Ivonne Vazquez (DENTIST) |
| Authorized Official Contact | 9516958711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overland Dental Practice 41653 Margarita Rd Ste 107 Temecula CA 92591-3000 Ph: (951) 695-8711 | Overland Dental Practice 41653 Margarita Rd Ste 107 Temecula CA 92591-3000 Ph: (951) 695-8711 |
| NPI Number | 1548639768 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548639768 | NPI | - | NPPES |
| 161-908-6733 | Other | CA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50392 (California) | Primary |
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