Elvia Juarez a Dental Corporation
NPI #1518553809 in San Jacinto, California
Provider Information
- NPI Number
- 1518553809
- Entity Type
- Organization
- Organization Name
- Elvia Juarez a Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 21, 2020
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 2191 W. ESPLANADE AVE
- Address 2
- SUITE 106
- City
- San Jacinto
- State
- California
- ZIP Code
- 92582
- Phone
- (760) 775-5552
Authorized Official
- Name
- ELVIA JUAREZ MATA, DDS
- Title
- DENTIST
- Phone
- (760) 775-5552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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