Organization · NPI-2

Girlie Aquino Uy DDS INC.

Preferred Provider Organization · Riverside, CA

NPI number1871837013
StatusActive
Last updated in NPPESNov 11, 2012

Details

NPI
1871837013
Entity type
Organization (NPI-2)
Legal business name
Girlie Aquino Uy DDS INC.
Organization subpart
No
Enumeration date
Nov 11, 2012
Last updated
Nov 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider Organization56967CAYes
302R00000X Health Maintenance Organization56967CA
305S00000X Point of Service56967CA

Practice location

9867 Magnolia Ave Ste E
Riverside, CA 92503-3519

Phone 951-352-2112 · Fax 951-352-2088

Mailing address

9867 Magnolia Ave Ste E
Riverside, CA 92503-3519

Phone 951-352-2112 · Fax 951-352-2088

Authorized official

Girlie Aquino Uy
President
9513522112

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