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General NPI Number Information
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NPI Number | 1457279242
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Entity Type | Organization
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Legal Business Name | JNM DENTAL PARTNERS INC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 1155 W CENTRAL AVE STE 103
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City | SANTA ANA
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State | CA
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Zip | 92707-3100
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Country | US
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Telephone | 949-795-8115
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Fax | 949-392-6401
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Provider Business Mailing Address
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Address Line | 1155 W CENTRAL AVE STE 103
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City | SANTA ANA
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State | CA
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Zip | 92707-3100
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Country | US
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Telephone | 949-795-8115
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Fax | 949-392-6401
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. NOEL HERNANDEZ
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Credential | RDAEF2
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Telephone | 949-795-8115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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