Organization
DAVID J.JO DDS MS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAEKWAN JO D.D.S., M.S. (PRESIDENT)
(951) 359-8100
Entity
Organization
Contact information
Practice address
10600 MAGNOLIA AVE, SUITE A, RIVERSIDE, CA 92505-1819
(951) 359-8100
Mailing address
10600 MAGNOLIA AVE, SUITE A, RIVERSIDE, CA 92505-1819
(951) 359-8100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30682
CA
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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