JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION
Managed Care Organizations in Riverside, CA

License number
California 61049
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. JUAN ANTONIO T. TREJO CANCHOLA DDS
Title: MANAGING DENTIST
Phone: (951) 842-0803
Address
Address
9867 Magnolia Ave Ste E, Riverside, CA 92503
National Provider ID: 1215344783
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Juan Antonio Trejo Canchola Dental Corporation

9867 Magnolia Ave, Riverside, CA 92503

Registration:
Jul 31, 2013
State ID:
03590100
Business type:
Articles of Incorporation
President:
Juan Antonio Trejo Canchola (President)

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