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391 Wilkerson Ave Suite B Perris CA 92570-2254 | |
| (951) 943-4007 | |
| (951) 943-1037 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 391 Wilkerson Ave, Perris, California |
| Authorized Official Name and Position | Hareesh Veerabhadraiah (PRESIDENT) |
| Authorized Official Contact | 9514872455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
391 Wilkerson Ave Suite B Perris CA 92570-2254 Ph: (951) 943-4007 | 391 Wilkerson Ave Suite B Perris CA 92570-2254 Ph: (951) 943-4007 |
| NPI Number | 1558410019 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 04/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558410019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33041 (California) | Primary |
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