| Jorge H. Zamudio Dds Inc. | |
|
1410 3rd St. Suite 4 Riverside CA 92507 | |
| (951) 686-8783 | |
| (951) 686-8784 |
| Full Name | Jorge H. Zamudio Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1410 3rd St. Suite 4, Riverside, California |
| Authorized Official Name and Position | Jorge Hernandez-zamudio (OWNER/CEO) |
| Authorized Official Contact | 9513181740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge H. Zamudio Dds Inc. 1410 3rd St. Suite 4 Riverside CA 92507 Ph: (951) 686-8783 | Jorge H. Zamudio Dds Inc. 1410 3rd St. Suite 4 Riverside CA 92507 Ph: (951) 686-8783 |
| NPI Number | 1265962773 |
|---|---|
| Provider Enumeration Date | 06/16/2017 |
| Last Update Date | 06/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265962773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45873 (California) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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