| Pacific Dental Group Of El Cajon | |
|
865 Jackman St El Cajon CA 92020-3052 | |
| (619) 447-3100 | |
| (619) 447-3107 |
| Full Name | Pacific Dental Group Of El Cajon |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 865 Jackman St, El Cajon, California |
| Authorized Official Name and Position | Jovan Djuro Plamenac (PRESIDENT) |
| Authorized Official Contact | 6194473100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental Group Of El Cajon 865 Jackman St El Cajon CA 92020-3052 Ph: (619) 447-3100 | Pacific Dental Group Of El Cajon 865 Jackman St El Cajon CA 92020-3052 Ph: (619) 447-3100 |
| NPI Number | 1275726325 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275726325 | NPI | - | NPPES |
| 26111 | Other | CA | RENDERING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2611 (California) | Primary |
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