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Organization
PACIFIC DENTAL CLINIC
Active
Organization
PACIFIC DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE L GERONIMO D.D.S. (DENTIST)
(951) 924-6370
Entity
Organization
Contact information
Practice address
25025 RED MAPLE LN, MORENO VALLEY, CA 92551-1137
(951) 924-6370
(951) 924-6374
Mailing address
25025 RED MAPLE LN, MORENO VALLEY, CA 92551
(951) 924-6370
(951) 924-6374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47897
CA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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