| Friendly Dental Group | |
|
28314 Old Town Front St Temecula CA 92590 | |
| (951) 676-8920 | |
| (951) 676-8976 |
| Full Name | Friendly Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28314 Old Town Front St, Temecula, California |
| Authorized Official Name and Position | Jorge Hernandez Zamudio (OWNER - DENTIST) |
| Authorized Official Contact | 9518947769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Friendly Dental Group 28314 Old Town Front St Temecula CA 92590 Ph: (951) 676-8920 | Friendly Dental Group 28314 Old Town Front St Temecula CA 92590 Ph: (951) 676-8920 |
| NPI Number | 1104973197 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104973197 | NPI | - | NPPES |
| G9301201 | Medicaid | CA | |
| G9301202 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45873 (California) | Primary |
News Archive
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› Verified 6 days ago
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