Organization
SPO7 MANAGEMENT CORP
Active
Other names
ECCO DETNAL
Organization subpart
No
Provider details
NPI number
Authorized official
GERMAN GUILLERMO JAQUEZ DDS (DENTIST)
(626) 771-0064
Entity
Organization
Contact information
Practice address
1753 S VALLEY CENTER AVE, GLENDORA, CA 91740-6100
(626) 771-0064
(626) 513-7463
Mailing address
1753 S VALLEY CENTER AVE, GLENDORA, CA 91740-6100
(626) 771-0064
(626) 513-7463
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
04/05/2024
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