| NPI | 1891979191 |
|---|---|
| Doing Business As | JACKLIN DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MILAGROS LINGAT TABERNA President 408-946-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |