JORGE LUIS GERONIMO

ANAHEIM, CA
NPI1043402019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  47897)
Enumeration Date2007-08-14
Last Update Date2016-12-22
Business Address
-- JORGE LUIS GERONIMO DDS
2270 W LINCOLN AVE STE A
ANAHEIM, CA 92801-6545
Phone number: 714-224-0240
Mailing Address
-- JORGE LUIS GERONIMO DDS
2270 W LINCOLN AVE STE A
ANAHEIM, CA 92801-6545
Phone number: 714-224-0240