Ricardo Jara Castro

NPI #1619492469 in Brea, California

Provider Information

NPI Number: 1619492469
Entity Type: Individual
Name: Ricardo Jara Castro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Aug 12, 2017
Last Updated: Aug 12, 2017

Practice Location

Address: 745 N BREA BLVD
City: Brea
State: California
ZIP Code: 92821-3334
Phone: (714) 990-0126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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