Organization
JBS PACIFIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B SHEPHERD DMD (PRESIDENT)
(714) 962-2471
Entity
Organization
Contact information
Practice address
18444 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6706
(714) 962-2471
Mailing address
18444 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6706
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
102301
CA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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