| NPI | 1255544052 |
|---|---|
| Doing Business As | SAN JACINTO DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON LEE CFO 951-654-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41861) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-08-22 |