Jorge L. Geronimo, DDS Prof Dental Corp
Jorge L. Geronimo, DDS Prof Dental Corp is a Preferred Provider Organization in Riverside, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9720 Magnolia Ave Ste #100Riverside, CA 92503
Phone: (951) 696-3663
Fax: (951) 696-3887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 47897 (CA) |
|---|
Record details
| NPI number | 1265809065 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Pacific Dental Clinic |
| Authorized official | Jorge Geronimo — Dentist · (714) 267-6400 |
| NPI enumerated | August 27, 2015 |
| Last updated in NPPES | January 3, 2020 |
| Certification date | January 3, 2020 |
| Mailing address | 9720 Magnolia Ave Suite 100, Riverside, CA 92503 |
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