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Organization
RUDELL GARY S. JACINTO, DMD, INC.
Active
Organization
RUDELL GARY S. JACINTO, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDELL GARY SANTOS JACINTO DMD (DENTIST/OWNER)
(323) 931-1385
Entity
Organization
Contact information
Practice address
5001 WILSHIRE BLVD, SUITE 212, LOS ANGELES, CA 90036-6104
(323) 931-1385
Mailing address
5001 WILSHIRE BLVD, SUITE 212, LOS ANGELES, CA 90036-6104
(323) 931-1385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36383
CA
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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