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Organization
YAHYA JABER DENTAL CORP
Active
Organization
YAHYA JABER DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAHYA SULIEMAN JABER DDS (DOCTOR)
(951) 486-0550
Entity
Organization
Contact information
Practice address
12190 PERRIS BLVD STE D, MORENO VALLEY, CA 92557-7422
(951) 486-0550
(951) 486-0566
Mailing address
12190 PERRIS BLVD STE D, MORENO VALLEY, CA 92557-7422
(951) 486-0550
(951) 486-0566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058225
BLUE CROSS BLUE SHIELD OF TENNESSEE
CA
01
—
275395
UNITED CONCORDIA
CA
01
—
31785
SAFEHEALTH LIFE INSURANCE COMPANY
CA
01
—
B44184-01
DELTA DENTAL HEALTHY FAMILIES
CA
01
—
B44189-01
DENTICAL
CA
Enumeration date
12/04/2008
Last updated
12/04/2008
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