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NPI Code Detail

MEDICARE: DR. DANIEL JENKINS D.D.S.

MEDICARE:  DR. DANIEL  JENKINS  D.D.S.
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 Dentistry29711CA

General Provider Information

NPI Number : 1902800253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JENKINS D.D.S.
Provider Business Mailing Address
First Line : 12854 10TH ST
Second Line :
City : CHINO
State : CA
Zip : 91710-4255
Country : US
Telephone Number : 909-628-5540
Fax Number : 909-627-6533
Provider Business Practice Location Address
First Line : 12854 10TH ST
Second Line :
City : CHINO
State : CA
Zip : 91710-4255
Country : US
Telephone Number : 909-628-5540
Fax Number : 909-627-6533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DANIEL JENKINS D.D.S.” Practice Location

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