| San Jacinto Family Dentistry | |
|
480 N State St Ste I San Jacinto CA 92583-6521 | |
| (951) 487-2455 | |
| (951) 487-2460 |
| Full Name | San Jacinto Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 480 N State St Ste I, San Jacinto, California |
| Authorized Official Name and Position | Hareesh Hareesh (OWNER) |
| Authorized Official Contact | 9514872455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jacinto Family Dentistry 480 N State St Ste I San Jacinto CA 92583-6521 Ph: (951) 487-2455 | San Jacinto Family Dentistry 480 N State St Ste I San Jacinto CA 92583-6521 Ph: (951) 487-2455 |
| NPI Number | 1255749016 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255749016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33041 (California) | Primary |
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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 | |
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