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Luis Alfredo Velazquez, D.d.s. Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
LUIS ALFREDO VELAZQUEZ, D.D.S. INC.18519188662020-06-28
Other Names:
Entity TypeOrganization
Provider OrganizationLUIS ALFREDO VELAZQUEZ, D.D.S. INC.
Practice Office Address8977 FOOTHILL BLVD STE F
RANCHO CUCAMONG, CA US
Practice Office Telephone9514469318
Mailing Address7675 NEWBERRY LN
FONTANA, CA 923364249 US
Business Telephone9514469318
Authorized OfficialLUIS ALFREDO VELAZQUEZ, PRESIDENT
9514469318
HPT Codes
CodeLicense NoState
122300000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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