Provider Demographics
NPI:1316409980
Name:JASIEL SABORIT
Entity Type:Organization
Organization Name:JASIEL SABORIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SABORIT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:686-117-8885
Mailing Address - Street 1:P.O. BOX 4634
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92232
Mailing Address - Country:US
Mailing Address - Phone:686-117-8885
Mailing Address - Fax:858-430-3143
Practice Address - Street 1:PRIV. MIRAMAR 3205
Practice Address - Street 2:VILLAS DEL PALMAR
Practice Address - City:MEXICALI
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:21378
Practice Address - Country:MX
Practice Address - Phone:686-117-8885
Practice Address - Fax:858-430-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty