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2990 Jamacha Rd Ste 140 El Cajon CA 92019-4387 | |
| (619) 670-5133 | |
| (619) 670-1492 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2990 Jamacha Rd Ste 140, El Cajon, California |
| Authorized Official Name and Position | Dalia Jamma (OWNER) |
| Authorized Official Contact | 6196705133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2990 Jamacha Rd Ste 140 El Cajon CA 92019-4387 Ph: (619) 670-5133 | 2990 Jamacha Rd Ste 140 El Cajon CA 92019-4387 Ph: (619) 670-5133 |
| NPI Number | 1417467341 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 11/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417467341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 64786 (California) | Primary |
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