MEDICARE: FLORES, SOBERO & YABAR DENTAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	43509	CA

General Provider Information

NPI Number	:	1992953806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORES, SOBERO & YABAR DENTAL CORP

Provider Business Mailing Address
First Line	:	24430 ALESSANDRO BLVD
Second Line	:	SUITE 104
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-2435
Country	:	US
Telephone Number	:	951-601-0350
Fax Number	:	951-601-0325

Provider Business Practice Location Address
First Line	:	24430 ALESSANDRO BLVD
Second Line	:	SUITE 104
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-2435
Country	:	US
Telephone Number	:	951-601-0350
Fax Number	:	951-601-0325

Authorized Official
Title or Position	:	MANAGER
Name	:	ROCIO ZURITA
Credential	:
Telephone Number	:	951-601-0350

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	09/04/2008

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Directions to “FLORES, SOBERO & YABAR DENTAL CORP ” Practice Location

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