| Towngate Family Dental | |
|
12625 Frederick St F-4 Moreno Valley CA 92553-5216 | |
| (951) 697-7750 | |
| Not Available |
| Full Name | Towngate Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12625 Frederick St, Moreno Valley, California |
| Authorized Official Name and Position | Hyun Joon Shin (CEO) |
| Authorized Official Contact | 9516977750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Towngate Family Dental 12625 Frederick St F-4 Moreno Valley CA 92553-5216 Ph: (951) 697-7750 | Towngate Family Dental 12625 Frederick St F-4 Moreno Valley CA 92553-5216 Ph: (951) 697-7750 |
| NPI Number | 1275865222 |
|---|---|
| Provider Enumeration Date | 02/02/2010 |
| Last Update Date | 02/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275865222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44361 (California) | Primary |
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