West Coast Dental Group

NPI #1780958843 in Nuevo, California

Provider Information

NPI Number
1780958843
Entity Type
Organization
Organization Name
West Coast Dental Group
Primary Specialty
Dental Assistant
Enumeration Date
Mar 6, 2012
Last Updated
Mar 6, 2012

Practice Location

Address
31419 SUNSET AVE
City
Nuevo
ZIP Code
92567-8956
Phone
(951) 318-2013

Authorized Official

Name
LAUREN NICOLE CARREON
Title
REGISTERED DENTAL ASSISTANT
Phone
(951) 318-2013

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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