Jorge Enciso, Dds, Inc.

NPI #1447829338 in Yucaipa, California

Provider Information

NPI Number
1447829338
Entity Type
Organization
Organization Name
Jorge Enciso, Dds, Inc.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 23, 2021
Last Updated
Jun 23, 2021

Practice Location

Address
34366 YUCAIPA BLVD STE K
ZIP Code
92399-2497
Phone
(909) 797-9247

Authorized Official

Name
DR. JORGE ENCISO, DDS
Title
DENTIST
Phone
(909) 910-5824

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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