Provider Demographics
NPI:1437749496
Name:JOSE EDUARDO MOLINA, DDS INC.
Entity Type:Organization
Organization Name:JOSE EDUARDO MOLINA, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-855-8331
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:AUBERRY
Mailing Address - State:CA
Mailing Address - Zip Code:93602-0250
Mailing Address - Country:US
Mailing Address - Phone:559-855-8331
Mailing Address - Fax:559-855-6520
Practice Address - Street 1:31985 LODGE RD STE 101
Practice Address - Street 2:
Practice Address - City:AUBERRY
Practice Address - State:CA
Practice Address - Zip Code:93602-9753
Practice Address - Country:US
Practice Address - Phone:559-855-8331
Practice Address - Fax:559-855-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-24
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty