Susan R Real-Raz, DMD Valid NPI
Individual provider · General Practice Dentistry · Moreno Valley, CA
- NPI
- 1679624902
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 42402 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-01-15
- Last updated
- 2020-02-12
Practice location
12725 Perris Blvd
Moreno Valley, CA 92553-4110
(951) 486-0119