| Jaquery Dental Inc. | |
|
56 Penny Ln Ste C Watsonville CA 95076-6018 | |
| (831) 722-8469 | |
| (831) 722-0241 |
| Full Name | Jaquery Dental Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 56 Penny Ln Ste C, Watsonville, California |
| Authorized Official Name and Position | Vinicius A Jaquery (SECRETARY) |
| Authorized Official Contact | 8317228469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaquery Dental Inc. 56 Penny Ln Ste C Watsonville CA 95076-6018 Ph: (831) 722-8469 | Jaquery Dental Inc. 56 Penny Ln Ste C Watsonville CA 95076-6018 Ph: (831) 722-8469 |
| NPI Number | 1518501444 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 11/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518501444 | NPI | - | NPPES |
| 1558550954 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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