Organization · Type 2 NPI

Jesus A Ceballos

General Practice Dentistry · Los Algodones, MX

NPI number 1134626005 Active

Practice location

Ave B #150 Suite H
Los Algodones, MX 21970

Fax (866) 272-6924

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	5466814 (ZZ)

General Practice Dentistry: 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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NPI record

NPI: 1134626005
Entity type: Organization (Type 2)
Issued: Apr 9, 2018
Last updated: Apr 9, 2018
Status: Active

Other names

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Jesus A Ceballos · former legal business name
Jesus A Ceballos · former legal business name

Authorized official

Dr. Jesus A Ceballos, DDS
Dentist
(619) 488-3200

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About NPI 1134626005

Jesus A Ceballos's National Provider Identifier is 1134626005, issued on Apr 9, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Algodones, MX. The record was last updated on Apr 9, 2018.