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3845 La Sierra Ave Ste 101b Riverside CA 92505-3594 | |
| (857) 265-0880 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3845 La Sierra Ave Ste 101b, Riverside, California |
| Authorized Official Name and Position | Prerna Garg (CEO) |
| Authorized Official Contact | 8572650880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
90 Vantis Dr Unit 1122 Aliso Viejo CA 92656-2506 Ph: () - | 3845 La Sierra Ave Ste 101b Riverside CA 92505-3594 Ph: (857) 265-0880 |
| NPI Number | 1720801798 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720801798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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