| Dentireal Inc. | |
|
9402 Magnolia Ave Riverside CA 92503-3723 | |
| (951) 359-9100 | |
| Not Available |
| Full Name | Dentireal Inc. |
|---|---|
| Speciality | Dentist |
| Location | 9402 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Eddy Shea (OWNER/PRESIDENT) |
| Authorized Official Contact | 9513599200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentireal Inc. 9402 Magnolia Ave Riverside CA 92503-3723 Ph: (951) 359-9100 | Dentireal Inc. 9402 Magnolia Ave Riverside CA 92503-3723 Ph: (951) 359-9100 |
| NPI Number | 1205229234 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205229234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37337 (California) | Primary |
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