Jason Antonio Dental Corporation | |
28080 Clinton Keith Rd Ste 100 Murrieta CA 92563-4553 | |
(951) 370-1529 | |
(951) 384-2503 |
Full Name | Jason Antonio Dental Corporation |
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Speciality | Dentist |
Location | 28080 Clinton Keith Rd Ste 100, Murrieta, California |
Authorized Official Name and Position | Jason C. Antonio (OWNER) |
Authorized Official Contact | 9513701529 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jason Antonio Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (951) 370-1529 | Jason Antonio Dental Corporation 28080 Clinton Keith Rd Ste 100 Murrieta CA 92563-4553 Ph: (951) 370-1529 |
NPI Number | 1598425399 |
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Provider Enumeration Date | 12/21/2021 |
Last Update Date | 12/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598425399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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