Villamor R. Usita, D.D.S., INC.
Dentist, General Practice in Rancho Cucamonga, CA. Organization (NPI-2).
NPI number1679620439
StatusActive
Last updated in NPPESAug 13, 2007
Details
- NPI
- 1679620439
- Entity type
- Organization (NPI-2)
- Legal business name
- Villamor R. Usita, D.D.S., INC.
- Organization subpart
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Aug 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 43504 | CA | Yes |
Other names
- New Smile Dentistry (Doing Business As)
Practice location
11010 Foothill BlvdSte. 120
Rancho Cucamonga, CA 91730-7616
Phone 909-481-8881 · Fax 909-481-7722
Mailing address
11010 Foothill BlvdSte. 120
Rancho Cucamonga, CA 91730-7616
Phone 909-481-8881 · Fax 909-481-7722
Authorized official
Villamor Rialubin Usita
President Dentist
9094818881
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