Organization
JINHO JOE. DDS.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINHO JOE DDS (PRESIDENT)
(909) 799-5917
Entity
Organization
Contact information
Practice address
16200 BEAR VALLEY RD STE 105, VICTORVILLE, CA 92395-8708
(760) 952-2102
(760) 952-2953
Mailing address
11658 LAUREL AVE, LOMA LINDA, CA 92354-6720
(909) 799-5917
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52066
CA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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