Organization
PACIFIC DENTAL GROUP OF EL CAJON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOVAN DJURO PLAMENAC DDS (PRESIDENT)
(619) 447-3100
Entity
Organization
Contact information
Practice address
865 JACKMAN ST, EL CAJON, CA 92020-3052
(619) 447-3100
(619) 447-3107
Mailing address
865 JACKMAN ST, EL CAJON, CA 92020-3052
(619) 447-3100
(619) 447-3107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26111
RENDERING
CA
Enumeration date
08/22/2007
Last updated
08/22/2007
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