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Organization
JAIRO SEPULVEDA DDS, INC.
Active
Organization
JAIRO SEPULVEDA DDS, INC.
Active
Other names
Jairo Sepulveda DDS, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIRO GIOVANNI SEPULVEDA DENTIST (DENTIST/ OWNER)
(559) 562-5969
Entity
Organization
Contact information
Practice address
233 S MIRAGE AVE, LINDSAY, CA 93247-2543
(559) 562-5969
(559) 562-2358
Mailing address
233 S MIRAGE AVE, LINDSAY, CA 93247-2543
(559) 562-5969
(559) 562-2358
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114091162
MEDICAL
CA
Enumeration date
11/28/2017
Last updated
11/28/2017
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