Smileneeds Dental
Dentist, General Practice in Upland, CA. Organization (NPI-2).
NPI number1528250412
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1528250412
- Entity type
- Organization (NPI-2)
- Legal business name
- Smileneeds Dental
- Organization subpart
- No
- Enumeration date
- Aug 14, 2007
- Last updated
- Mar 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1183 E Foothill BlvdSuite150
Upland, CA 91786-4079
Phone 909-466-1245 · Fax 909-912-8245
Mailing address
1183 E Foothill BlvdSuite150
Upland, CA 91786-4079
Phone 909-466-1245 · Fax 909-912-8245
Authorized official
Mariano Castro
Owner
9064661245
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