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Jerel Frederic Philip, DMD
General Practice Dentistry in Santa Cruz, California
NPI 1720269947

Jerel Frederic Philip is a General Practice Dentistry based in Santa Cruz, CA and is specialized in General Practice. Jerel Frederic Philip practices in Santa Cruz, CA and has the professional credentials of DMD. The NPI Number for Jerel Frederic Philip is 1720269947 and holds a License No. 38159 (California).

The current practice location address for Jerel Frederic Philip is 4100 Portola Dr, Santa Cruz, CA and can be reached out via phone at 831-475-7739 and via fax at 831-475-7782.

Location: 4100 Portola Dr, Santa Cruz, CA, 95062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720269947
Provider Name
Jerel Frederic Philip
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4100 Portola Dr, Santa Cruz, CA, 95062
Phone Number
831-475-7739
Fax Number
831-475-7782
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4100 Portola Dr
City
Santa Cruz
State
California
Zip
95062
Phone Number
831-475-7739
Fax Number
831-475-7782
person
Provider Business Mailing Address Details
Address
4100 Portola Dr
City
Santa Cruz
State
California
Zip
95062
Phone Number
831-475-7739
Fax Number
831-475-7782
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
38159 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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