FENNY VIRGIN DDS INC. NPI 1285183194

NPI Information

FENNY VIRGIN, DDS, INC. is a dental clinic center in Chino, CA. FENNY VIRGIN, DDS, INC. NPI is 1285183194. The provider is registered as an organization entity type.
The provider Is Doing Business As Chino Spectrum Dental.

The provider's business location address is:

4036 GRAND AVE
SUITE D
CHINO, CA
ZIP 91710-487
Phone: (909) 627-9996
Fax: (909) 517-1035

The provider's authorized official is Fenny Virgin .
The authorized official title is President and has the following contact phone number (909) 627-9996.

The enumeration date for this NPI number is 10/4/2016 and was last updated on 10/4/2016.

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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