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Juan Antonio Trejo Canchola Dental Corporation
Point of Service in Riverside, California
NPI 1215344783

Juan Antonio Trejo Canchola Dental Corporation is a Point of Service based in Riverside, CA. Juan Antonio Trejo Canchola Dental Corporation practices in Riverside, CA. The NPI Number for Juan Antonio Trejo Canchola Dental Corporation is 1215344783 and holds a License No. 61049 (California).

The current practice location address for Juan Antonio Trejo Canchola Dental Corporation is 9867 Magnolia Ave Ste E, Riverside, CA and can be reached out via phone at 951-352-2112 and via fax at 951-352-2088.

Location: 9867 Magnolia Ave Ste E, Riverside, CA, 92503-3519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215344783
Provider Name
Juan Antonio Trejo Canchola Dental Corporation
Credential
Provider Entity Type
Organization
Address
9867 Magnolia Ave Ste E, Riverside, CA, 92503-3519
Phone Number
951-352-2112
Fax Number
951-352-2088
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9867 Magnolia Ave Ste E
City
Riverside
State
California
Zip
92503-3519
Phone Number
951-352-2112
Fax Number
951-352-2088
person
Provider Business Mailing Address Details
Address
9867 Magnolia Ave Ste E
City
Riverside
State
California
Zip
92503-3519
Phone Number
951-352-2112
Fax Number
951-352-2088
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
61049 (California)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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