Organization · Type 2 NPI

Juan Antonio Trejo Canchola Dental Corporation

Point of Service · Riverside, CA

NPI number 1215344783 Active

Practice location

9867 Magnolia Ave Ste E
Riverside, CA 92503-3519

Call (951) 352-2112 Map

Fax (951) 352-2088

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X61049 (CA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

4 other providers at this address

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About NPI 1215344783

Juan Antonio Trejo Canchola Dental Corporation's National Provider Identifier is 1215344783, issued on Jul 16, 2014. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 16, 2014.