| Rwigema Dental Corporation | |
|
3025 E Avenue S Ste A14 Palmdale CA 93550-2472 | |
| (661) 265-7694 | |
| Not Available |
| Full Name | Rwigema Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3025 E Avenue S Ste A14, Palmdale, California |
| Authorized Official Name and Position | Jean-pierre Mugaba Rwigema (PROVIDER/OWNER) |
| Authorized Official Contact | 6612657694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rwigema Dental Corporation 3025 E Avenue S Ste A14 Palmdale CA 93550-2472 Ph: (661) 265-7694 | Rwigema Dental Corporation 3025 E Avenue S Ste A14 Palmdale CA 93550-2472 Ph: (661) 265-7694 |
| NPI Number | 1518479757 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 10/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518479757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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