| Ontario Village Dental | |
|
533 W Holt Blvd Suite B Ontario CA 91762-3732 | |
| (909) 988-1992 | |
| (909) 988-0542 |
| Full Name | Ontario Village Dental |
|---|---|
| Speciality | Dentist |
| Location | 533 W Holt Blvd, Ontario, California |
| Authorized Official Name and Position | Luis E Paniagua (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9099881992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ontario Village Dental 533 W Holt Blvd Suite B Ontario CA 91762-3732 Ph: (909) 988-1992 | Ontario Village Dental 533 W Holt Blvd Suite B Ontario CA 91762-3732 Ph: (909) 988-1992 |
| NPI Number | 1194821058 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194821058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37057 (California) | Primary |
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