Organization
ANA LIZA E. DE JESUS DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA LIZA DE JESUS DMD (DENTIST)
(909) 483-0400
Entity
Organization
Contact information
Practice address
9760 BASE LINE RD STE 102, RANCHO CUCAMONGA, CA 91701-5989
(909) 483-0400
(909) 483-4708
Mailing address
9760 BASE LINE RD STE 102, RANCHO CUCAMONGA, CA 91701-5989
(909) 483-0400
(909) 483-4708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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