Organization
PACIFIC DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LUIS GERONIMO DDS (DENTIST)
(714) 817-8345
Entity
Organization
Contact information
Practice address
1201 N EUCLID ST, ANAHEIM, CA 92801-1954
(714) 817-8345
(714) 224-7688
Mailing address
1201 N EUCLID ST, ANAHEIM, CA 92801-1954
(714) 817-8345
(714) 224-7688
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
47897
CA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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