NPI 1114404779
Jacob Garza
Practice location
- Address
- 3380 La Sierra Ave STE 108, Riverside, CA 92503-5225
- Phone
- (951) 465-6982
- Mailing address
- 12335 Marquette CT, Moreno Valley, CA 92557-7749
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1114404779
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jul 2018
- Record last updated
- 25 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.