Organization · Type 2 NPI

Jorge L. Geronimo, DDS Prof. Dental Corp.

Preferred Provider Organization · Riverside, CA

NPI number 1265809065 Active

Practice location

9720 Magnolia Ave Suite #100
Riverside, CA 92503

Fax (951) 696-3887

Mailing address

9720 Magnolia Ave Suite 100
Riverside, CA 92503

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X47897 (CA)

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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About NPI 1265809065

Jorge L. Geronimo, DDS Prof. Dental Corp.'s National Provider Identifier is 1265809065, issued on Aug 27, 2015. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Riverside, CA. The record was last updated on Jan 3, 2020.