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Organization
JULIO E CACERES DDS, INC
Active
Organization
JULIO E CACERES DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO E CACERES DDS (OWNER)
(951) 549-1111
Entity
Organization
Contact information
Practice address
80 W GRAND BLVD STE 111, CORONA, CA 92882-2059
(951) 549-1111
(951) 549-1190
Mailing address
80 W GRAND BLVD STE 111, CORONA, CA 92882-2059
(951) 549-1111
(951) 549-1190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DDS49850
DENTAL LICENSE
CA
Enumeration date
02/26/2019
Last updated
03/07/2023
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