JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION NPI 1215344783

NPI Information

JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION is a point of service in Riverside, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION NPI is 1215344783. The provider is registered as an organization entity type.

The provider's business location address is:

9867 MAGNOLIA AVE STE E
RIVERSIDE, CA
ZIP 92503-519
Phone: (951) 352-2112
Fax: (951) 352-2088

The provider's authorized official is Juan Antonio T. Trejo Canchola .
The authorized official title is Managing Dentist and has the following contact phone number (951) 842-0803.

The enumeration date for this NPI number is 7/16/2014 and was last updated on 7/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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