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DR. CARMELITA SY-PRUDENCIO PROFESSIONAL DENTAL CORP. NPI 1588850622


NPI Information

NPI: 1588850622
Provider Name: DR. CARMELITA SY-PRUDENCIO PROFESSIONAL DENTAL CORP.

Doing Business As: FAMILY DENTISTRY OF TEMECULA VALLEY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
29760 RANCHO CALIFORNIA RD
SUITE 108
TEMECULA, CA
ZIP 92591
Phone: (951) 693-5220
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DR. CARMELITA SY-PRUDENCIO PROFESSIONAL DENTAL CORP. is a general practice dentist in Temecula, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. CARMELITA SY-PRUDENCIO PROFESSIONAL DENTAL CORP. NPI is 1588850622. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Dentistry Of Temecula Valley.

The provider's business location address is:

29760 RANCHO CALIFORNIA RD
SUITE 108
TEMECULA, CA
ZIP 92591-288
Phone: (951) 693-5220
Fax: (951) 693-5222

The provider's authorized official is Carmelita Sy-prudencio .
The authorized official title is Owner/dentist and has the following contact phone number (951) 693-5220.

The enumeration date for this NPI number is 9/22/2007 and was last updated on 9/22/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice41131CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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