Individual
JACLYN BARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
838 NORDAHL RD STE 145, SAN MARCOS, CA 92069-3513
(760) 480-6700
Mailing address
838 NORDAHL RD STE 145, SAN MARCOS, CA 92069-3513
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
64669
CA
Other
Enumeration date
02/05/2014
Last updated
06/22/2017
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