| Tibbitts Menifee Dental Group | |
|
27701 Scott Rd Ste 107 Menifee CA 92584-9434 | |
| (951) 301-6100 | |
| (951) 301-3669 |
| Full Name | Tibbitts Menifee Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 27701 Scott Rd Ste 107, Menifee, California |
| Authorized Official Name and Position | Valerie Ann Rogers (OFFICE ASSISTANT) |
| Authorized Official Contact | 9516775113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tibbitts Menifee Dental Group 27701 Scott Rd Ste 107 Menifee CA 92584-9434 Ph: (951) 301-6100 | Tibbitts Menifee Dental Group 27701 Scott Rd Ste 107 Menifee CA 92584-9434 Ph: (951) 301-6100 |
| NPI Number | 1134644149 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134644149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 53656 (California) | Primary |
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