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Ukanidentalgroup

Dentist, General Practice in Norco, CA. Organization (NPI-2).

NPI number1083040596
StatusActive
Last updated in NPPESSep 17, 2013

Details

NPI
1083040596
Entity type
Organization (NPI-2)
Legal business name
Ukanidentalgroup
Organization subpart
Yes
Enumeration date
Sep 17, 2013
Last updated
Sep 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice34006CAYes

Practice location

1540 Hamner Ave Ste 102
Norco, CA 92860-2914

Phone 951-340-1144

Mailing address

1540 Hamner Ave Ste 102
Norco, CA 92860-2914

Phone 951-340-1144

Authorized official

Gulabrai B Ukani
President
9513401144

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