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Organization

RUSSEL R JACINTO DMD INC

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Organization

RUSSEL R JACINTO DMD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSEL R JACINTO DMD (OWNER/DENTIST)
(818) 240-6705
Entity
Organization

Contact information

Practice address
144 N GLENDALE AVE, SUITE 100, GLENDALE, CA 91206-4903
(818) 240-6705
(818) 240-3758
Mailing address
144 N GLENDALE AVE, SUITE 100, GLENDALE, CA 91206-4903
(818) 240-6705
(818) 240-3758

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37841
CA

Other

Enumeration date
08/13/2015
Last updated
08/13/2015
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