Individual
DR. ALBERT MACIAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1643 S SAN JACINTO AVE STE 100&101, SAN JACINTO, CA 92583-5181
(951) 654-7744
Mailing address
11175 CAMPUS ST, LOMA LINDA, CA 92350-1700
(909) 558-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112659
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
01/08/2026
Last updated
01/26/2026
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