Provider Demographics
NPI:1346615572
Name:JOHN J. CESARIO DDS., INC.
Entity Type:Organization
Organization Name:JOHN J. CESARIO DDS., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CESARIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-798-7228
Mailing Address - Street 1:233 CAJON ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5257
Mailing Address - Country:US
Mailing Address - Phone:909-798-7228
Mailing Address - Fax:909-798-2838
Practice Address - Street 1:233 CAJON ST
Practice Address - Street 2:SUITE 8
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5257
Practice Address - Country:US
Practice Address - Phone:909-798-7228
Practice Address - Fax:909-798-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36065251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare