French Valley Dental Group | |
30688 Benton Rd Ste B102 Winchester CA 92596-8469 | |
(951) 325-7776 | |
Not Available |
Full Name | French Valley Dental Group |
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Speciality | Dentist |
Location | 30688 Benton Rd Ste B102, Winchester, California |
Authorized Official Name and Position | Rowena Gbenoba (PRESIDENT) |
Authorized Official Contact | 9513257776 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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French Valley Dental Group 30688 Benton Rd Ste B102 Winchester CA 92596-8469 Ph: (951) 325-7776 | French Valley Dental Group 30688 Benton Rd Ste B102 Winchester CA 92596-8469 Ph: (951) 325-7776 |
NPI Number | 1447801600 |
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Provider Enumeration Date | 09/27/2019 |
Last Update Date | 11/19/2020 |
Medicare PECOS PAC ID | 9032520622 |
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Medicare Enrollment ID | O20201203001495 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447801600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | Rowena Sanchez Gbenoba |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1710116397 PECOS PAC ID: 0941611537 Enrollment ID: I20201203001539 |
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