Jll Dental Inc | |
217 W Los Angeles Ave Moorpark CA 93021-1867 | |
(805) 529-0100 | |
(805) 529-0102 |
Full Name | Jll Dental Inc |
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Speciality | Dentist |
Location | 217 W Los Angeles Ave, Moorpark, California |
Authorized Official Name and Position | Jacobi Ludwig (CEO) |
Authorized Official Contact | 8055290100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jll Dental Inc 217 W Los Angeles Ave Moorpark CA 93021-1867 Ph: (805) 529-0100 | Jll Dental Inc 217 W Los Angeles Ave Moorpark CA 93021-1867 Ph: (805) 529-0100 |
NPI Number | 1285037002 |
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Provider Enumeration Date | 10/07/2014 |
Last Update Date | 10/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285037002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 63228 (California) | Primary |
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