Individual
DR. JESSIE CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2600 OSWELL ST STE F, BAKERSFIELD, CA 93306-3159
(661) 871-4132
(661) 872-0943
Mailing address
9396 GLENAIRE CT, RANCHO CUCAMONGA, CA 91730-5775
(909) 476-8145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
44857
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
44857
CA
Other
Enumeration date
02/20/2007
Last updated
09/08/2020
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