institution
Dr. Deza's Dental Office Inc.
Dental Clinic/Center in Moreno Valley, California
NPI 1548612856

Dr. Deza's Dental Office Inc. is a Dental Clinic/Center based in Moreno Valley, CA and is specialized in Dental. Dr. Deza's Dental Office Inc. practices in Moreno Valley, CA. The NPI Number for Dr. Deza's Dental Office Inc. is 1548612856 and holds a License No. 43332 (California).

The current practice location address for Dr. Deza's Dental Office Inc. is 23080 Alessandro Blvd Ste 201, Moreno Valley, CA and can be reached out via phone at 951-697-0909 and via fax at 951-697-1116.

Location: 23080 Alessandro Blvd Ste 201, Moreno Valley, CA, 92553-9674
institution
Provider Profile Details
NPI Number
1548612856
Provider Name
Dr. Deza's Dental Office Inc.
Credential
Provider Entity Type
Organization
Address
23080 Alessandro Blvd Ste 201, Moreno Valley, CA, 92553-9674
Phone Number
951-697-0909
Fax Number
951-697-1116
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982707907 05 CA
institution
Provider Business Practice Location Address Details
Address
23080 Alessandro Blvd Ste 201
City
State
Zip
92553-9674
Phone Number
951-697-0909
Fax Number
951-697-1116
person
Provider Business Mailing Address Details
Address
23080 Alessandro Blvd Ste 201
City
State
Zip
92553-9674
Phone Number
951-697-0909
Fax Number
951-697-1116
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
43332 (California)
Definition
Definition to come...
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