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1209 E Main St El Cajon CA 92021-7245 | |
| (619) 442-0707 | |
| (619) 442-4931 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1209 E Main St, El Cajon, California |
| Authorized Official Name and Position | Cesar Jimenez (PRESIDENT) |
| Authorized Official Contact | 6194420707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1209 E Main St El Cajon CA 92021-7245 Ph: (619) 442-0707 | 1209 E Main St El Cajon CA 92021-7245 Ph: (619) 442-0707 |
| NPI Number | 1437379781 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 11/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437379781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43980 (California) | Primary |
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