BOLSA DENTAL CENTER
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1972052322- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11695 SLATE AVE STE 200, RIVERSIDE, CA, 925055197
- Phone
- (951) 353-0050
- Fax
- (951) 353-0060
Specialties & Taxonomies
Dentist, General Practice
License: CA #44933
Dentist, General Practice
Primary License: CA #44934