Provider Demographics
NPI:1982739033
Name:CESARIO, JOHN JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:CESARIO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA360651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice