John Robert Jerome DDS

NPI 1649310202 - Dentist - 1223X0400X

NPI Details
NPI 1649310202
Gender Male
Enumeration Date 02/06/2007
Last Updated 04/10/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
11462 MIRO CIR
SAN DIEGO CA, 92131, US
Phone (858) 577-7856
Fax
Business Location
11462 MIRO CIR
SAN DIEGO CA, 92131-3315, US
Phone (858) 635-9154
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 55385
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According to our database, Dr. John Robert Jerome DDS NPI is 1649310202, taxonomy code is 1223X0400X and license number is 55385, license state is located at California. John Robert Jerome DDS physically located at 11462 Miro Cir, San Diego CA, 92131. NPI Number John Robert Jerome DDS has the Individual type.

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1649310202 NPI number is provided on an as is basis without warranty of any kind. 1649310202 is maintained by the National Plan & Provider Enumeration System. The contents of John Robert Jerome DDS are for informational purposes only.