| NPI | 1972221034 |
|---|---|
| Doing Business As | DENTISTS OF SAN JACINTO |
| Entity Type | Organization |
| Authorized Contact | JUSTIN NAMM Owner 951-462-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |