Organization
DAVE GOLDWYN JEQUINTO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE GOLDWYN JEQUINTO DDS (PRESIDENT)
(310) 530-4300
Entity
Organization
Contact information
Practice address
2945 ROLLING HILLS RD, TORRANCE, CA 90505-7146
(310) 530-4300
Mailing address
2945 ROLLING HILLS RD, TORRANCE, CA 90505-7146
(310) 530-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59173
CA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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