| |
2191 W Esplanade Ave #f106 San Jacinto CA 92582-3723 | |
(951) 487-2999 | |
(951) 487-9490 |
Full Name | |
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Speciality | Dentist |
Location | 2191 W Esplanade Ave, San Jacinto, California |
Authorized Official Name and Position | Vicky Presley (MANAGER) |
Authorized Official Contact | 9514872999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2191 W Esplanade Ave #f106 San Jacinto CA 92582-3723 Ph: (951) 487-2999 | 2191 W Esplanade Ave #f106 San Jacinto CA 92582-3723 Ph: (951) 487-2999 |
NPI Number | 1770829731 |
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Provider Enumeration Date | 12/19/2012 |
Last Update Date | 12/19/2012 |
Identifier | Type | State | Issuer |
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1770829731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 44371 (California) | Primary |
Deep Muko Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave Ste N, San Jacinto, CA 92583 Phone: 951-654-2121 | |
Elvia Juarez A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2191 W. Esplanade Ave, Suite 106, San Jacinto, CA 92582 Phone: 760-775-5552 | |
San Jacinto Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W Esplanade Ave, Ste K, San Jacinto, CA 92582 Phone: 951-654-3424 Fax: 951-654-9423 |