| Maranatha Dental Practice | |
|
17157 Spring Canyon Pl Riverside CA 92503-0234 | |
| (951) 353-2873 | |
| Not Available |
| Full Name | Maranatha Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 17157 Spring Canyon Pl, Riverside, California |
| Authorized Official Name and Position | Hernando Suarez (OWNER) |
| Authorized Official Contact | 7145377773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maranatha Dental Practice 13252 Century Blvd Suite Q Garden Grove CA 92843-1256 Ph: (714) 537-7773 | Maranatha Dental Practice 17157 Spring Canyon Pl Riverside CA 92503-0234 Ph: (951) 353-2873 |
| NPI Number | 1104016971 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104016971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48384 (California) | Primary |
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