Provider Demographics
NPI:1750934303
Name:JUMOC, ABIGAIL ARCE (DMD, DDS)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:ARCE
Last Name:JUMOC
Suffix:
Gender:F
Credentials:DMD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139-1309
Mailing Address - Country:US
Mailing Address - Phone:619-806-2551
Mailing Address - Fax:619-806-2551
Practice Address - Street 1:2240 E PLAZA BLVD STE J
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-5165
Practice Address - Country:US
Practice Address - Phone:619-475-5767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice