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Organization

JEQUINTO DENTAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVE GOLDWYN JEQUINTO (OWNER DDS)
(210) 568-9800
Entity
Organization

Contact information

Practice address
7801 CENTER AVE STE 101, HUNTINGTON BEACH, CA 92647-9112
(210) 568-9800
Mailing address
7801 CENTER AVE STE 101, HUNTINGTON BEACH, CA 92647-9112

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary

Other

Enumeration date
01/02/2024
Last updated
01/04/2024
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