| Julio E Caceres Dds, Inc | |
|
80 W Grand Blvd Ste 111 Corona CA 92882-2059 | |
| (951) 549-1111 | |
| (951) 549-1190 |
| Full Name | Julio E Caceres Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 80 W Grand Blvd Ste 111, Corona, California |
| Authorized Official Name and Position | Julio E Caceres (OWNER) |
| Authorized Official Contact | 9515491111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julio E Caceres Dds, Inc 80 W Grand Blvd Ste 111 Corona CA 92882-2059 Ph: (951) 549-1111 | Julio E Caceres Dds, Inc 80 W Grand Blvd Ste 111 Corona CA 92882-2059 Ph: (951) 549-1111 |
| NPI Number | 1609333673 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609333673 | NPI | - | NPPES |
| DDS49850 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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