Organization
JORGE ENCISO, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE ENCISO DDS (DENTIST)
(909) 910-5824
Entity
Organization
Contact information
Practice address
34366 YUCAIPA BLVD STE K, YUCAIPA, CA 92399-2497
(909) 797-9247
(909) 797-8587
Mailing address
13554 DOUGLAS ST, YUCAIPA, CA 92399-5517
(909) 910-5824
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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