Provider Demographics
NPI:1437285210
Name:NEUFELD, TERRI LYNN ALFRED (DDS, MS)
Entity Type:Individual
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First Name:TERRI
Middle Name:LYNN ALFRED
Last Name:NEUFELD
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:910 WASHBURN AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-4383
Mailing Address - Country:US
Mailing Address - Phone:951-737-5861
Mailing Address - Fax:951-602-6082
Practice Address - Street 1:910 WASHBURN AVE
Practice Address - Street 2:SUITE E
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-4383
Practice Address - Country:US
Practice Address - Phone:951-737-5861
Practice Address - Fax:951-602-6082
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2013-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA517191223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics