Raymond Jone Dds Professional Corporation | |
6433 Mission St Daly City CA 94014-2072 | |
(650) 353-5969 | |
Not Available |
Full Name | Raymond Jone Dds Professional Corporation |
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Speciality | Dentist |
Location | 6433 Mission St, Daly City, California |
Authorized Official Name and Position | Raymond Jone (CEO) |
Authorized Official Contact | 9165950845 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raymond Jone Dds Professional Corporation 6433 Mission St Daly City CA 94014-2072 Ph: (650) 353-5969 | Raymond Jone Dds Professional Corporation 6433 Mission St Daly City CA 94014-2072 Ph: (650) 353-5969 |
NPI Number | 1285176156 |
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Provider Enumeration Date | 11/09/2016 |
Last Update Date | 11/13/2016 |
Medicare PECOS PAC ID | 3173807690 |
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Medicare Enrollment ID | O20220706000636 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285176156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DDS60734 (California) | Primary |
Provider Name | Raymond Jone |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1487974150 PECOS PAC ID: 1153615042 Enrollment ID: I20220708000936 |
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