| San Jacinto Dental Center | |
|
166 E Main St Suite 6 San Jacinto CA 92583-4200 | |
| (951) 654-8005 | |
| (951) 654-3680 |
| Full Name | San Jacinto Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 166 E Main St, San Jacinto, California |
| Authorized Official Name and Position | Jason Lee (CFO) |
| Authorized Official Contact | 9516548005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jacinto Dental Center 166 E Main St Suite 6 San Jacinto CA 92583-4200 Ph: (951) 654-8005 | San Jacinto Dental Center 166 E Main St Suite 6 San Jacinto CA 92583-4200 Ph: (951) 654-8005 |
| NPI Number | 1255544052 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255544052 | NPI | - | NPPES |
| B41861-02 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41861 (California) | Primary |
San Jacinto Smiles Dentistry Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1643 S San Jacinto Ave Ste 100&101, San Jacinto, CA 92583 Phone: 951-654-7744 Fax: 951-654-6823 | |
Deep Muko Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave Ste N, San Jacinto, CA 92583 Phone: 951-654-2121 | |
San Jacinto Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 N State St Ste I, San Jacinto, CA 92583 Phone: 951-487-2455 Fax: 951-487-2460 | |
Rajul Shah Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W Esplanade Ave, San Jacinto, CA 92582 Phone: 951-654-3424 Fax: 951-654-9423 | |
Elvia Juarez A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2191 W. Esplanade Ave, Suite 106, San Jacinto, CA 92582 Phone: 760-775-5552 | |
San Jacinto Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W Esplanade Ave, Ste K, San Jacinto, CA 92582 Phone: 951-654-3424 Fax: 951-654-9423 |