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Jacob Allen Enjati, DDS Valid NPI

Individual provider · General Practice Dentistry · Loma Linda, CA

NPI
1013890284
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
112095 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2025-07-28
Last updated
2025-12-01
Practice location
24647 Lawton Ave
Loma Linda, CA 92354-3323
(509) 990-3031

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