Mylad Dental Corporation
NPI #1215712906 in Moreno Valley, California
Provider Information
- NPI Number
- 1215712906
- Entity Type
- Organization
- Organization Name
- Mylad Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 30, 2023
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 24119 HEMLOCK AVE STE 108
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92557-7221
- Phone
- (951) 220-6980
Authorized Official
- Name
- BOTAMENA MYLAD, DDS
- Title
- OWNER
- Phone
- (951) 220-6980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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