| Jorge Enciso, Dds, Inc. | |
|
34366 Yucaipa Blvd Ste K Yucaipa CA 92399-2497 | |
| (909) 797-9247 | |
| (909) 797-8587 |
| Full Name | Jorge Enciso, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34366 Yucaipa Blvd Ste K, Yucaipa, California |
| Authorized Official Name and Position | Jorge Enciso (DENTIST) |
| Authorized Official Contact | 9099105824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Enciso, Dds, Inc. 13554 Douglas St Yucaipa CA 92399-5517 Ph: (909) 910-5824 | Jorge Enciso, Dds, Inc. 34366 Yucaipa Blvd Ste K Yucaipa CA 92399-2497 Ph: (909) 797-9247 |
| NPI Number | 1447829338 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447829338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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