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Organization
PACIFIC DENTAL GROUP OF EL CAJON
Active
Organization
PACIFIC DENTAL GROUP OF EL CAJON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOVAN DJURO PLAMENAC DDS (PRESIDENT)
(619) 447-3100
Entity
Organization
Contact information
Practice address
865 JACKMAN ST, EL CAJON, CA 92020-3052
(619) 447-3100
(619) 447-3107
Mailing address
865 JACKMAN ST, EL CAJON, CA 92020-3052
(619) 447-3100
(619) 447-3107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26111
RENDERING
CA
Enumeration date
08/22/2007
Last updated
08/22/2007
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