| Justin Namm Dental Corporation | |
|
1221 N State St Ste D San Jacinto CA 92583-6323 | |
| (951) 462-5751 | |
| (951) 465-2638 |
| Full Name | Justin Namm Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1221 N State St Ste D, San Jacinto, California |
| Authorized Official Name and Position | Justin Namm (OWNER) |
| Authorized Official Contact | 9514625751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Namm Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Justin Namm Dental Corporation 1221 N State St Ste D San Jacinto CA 92583-6323 Ph: (951) 462-5751 |
| NPI Number | 1972221034 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972221034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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