Jessie Corral in Rancho Cucamonga - General Practice
Jessie Corral - NPI 1194860809
Jessie Corral is a General Practice in Rancho Cucamonga, California. Jessie Corral practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessie Corral is 1194860809. The last update date is 2020-09-08.
Jessie Corral's current location address is 9396 Glenaire Ct, Rancho Cucamonga, California. You can contact this provider via phone number 9094768145. The mailing address for Jessie Corral is 9396 Glenaire Ct, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie Corral |
|---|---|
| Address | 9396 Glenaire Ct, Rancho Cucamonga, California |
| Phone Number | 9094768145 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1194860809 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-09-08 |
Provider Mailing Address Detail
| Address | 9396 Glenaire Ct |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917305775 |
| Phone Number | 9094768145 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 44857 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Jessie Corral?
The Jessie Corral has been issued the NPI (National Provider Identifier) 1194860809 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jessie Corral's facilities are situated?
The facilities of Jessie Corral are physically located at the following address: 9396 Glenaire Ct, Rancho Cucamonga, CA, 917305775.
What is the Jessie Corral's specialty and taxonomy code?
The Jessie Corral's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Jessie Corral receive its 1194860809 assignment from the Centers for Medicare & Medicaid Services?
The Jessie Corral was assigned its 1194860809 by the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date was the information regarding Jessie Corral, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessie Corral, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-08.