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NPI Code Detail

MEDICARE: JF DENTAL CORPORATION

MEDICARE: JF DENTAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1346115847
Entity Type Code : Organization
Provider Name (Legal Business Name) : JF DENTAL CORPORATION
Provider Business Mailing Address
First Line : 1620 VALLE VISTA AVE STE 100
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2842
Country : US
Telephone Number : 707-992-7744
Fax Number :
Provider Business Practice Location Address
First Line : 1620 VALLE VISTA AVE STE 100
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2842
Country : US
Telephone Number : 707-992-7744
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. SERGIO FLORENCIO JR.
Credential : DDS
Telephone Number : 707-552-7744
Provider Enumeration Date : 10/06/2025
Last Update Date : 10/06/2025

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Directions to “JF DENTAL CORPORATION ” Practice Location

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