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Dr. Jeremy Ian Factor, DDS
Periodontist in La Mesa, California
NPI 1215091251

Jeremy Ian Factor is a Periodontist based in La Mesa, CA and is specialized in Periodontics. Jeremy Ian Factor practices in La Mesa, CA and has the professional credentials of DDS. The NPI Number for Jeremy Ian Factor is 1215091251 and holds a License No. 54139 (California).

The current practice location address for Jeremy Ian Factor is 6080 Lake Murray Blvd, La Mesa, CA and can be reached out via phone at 619-466-6666 and via fax at 619-466-2639.

Location: 6080 Lake Murray Blvd, La Mesa, CA, 91942-2572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215091251
Provider Name
Jeremy Ian Factor
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6080 Lake Murray Blvd, La Mesa, CA, 91942-2572
Phone Number
619-466-6666
Fax Number
619-466-2639
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6080 Lake Murray Blvd
City
La Mesa
State
California
Zip
91942-2572
Phone Number
619-466-6666
Fax Number
619-466-2639
person
Provider Business Mailing Address Details
Address
6080 Lake Murray Blvd
City
La Mesa
State
California
Zip
91942-2572
Phone Number
619-466-6666
Fax Number
619-466-2639
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
54139 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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