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1194374439
JORGE ENCISO
RIVERSIDE, CA
NPI
1194374439
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Former Name
JORGE ENCISO-CARMONA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 104037)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
Dr. JORGE ENCISO DDS
10683 MAGNOLIA AVE STE D
RIVERSIDE, CA 92505-1893
Phone number: 951-324-1212
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Mailing Address
Dr. JORGE ENCISO DDS
13554 DOUGLAS ST
YUCAIPA, CA 92399-5517
Phone number: 909-910-5824
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