| Mauricio Dossantos DDS | |
|
12033 4th St Suite 7 Yucaipa CA 92399-2755 | |
| (909) 790-1951 | |
| (909) 790-1561 |
| Full Name | Mauricio Dossantos DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12033 4th St, Yucaipa, California |
| Authorized Official Name and Position | Mauricio Dossantos (OWNER DENTIST) |
| Authorized Official Contact | 9097096766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Dossantos DDS 12033 4th St Suite 7 Yucaipa CA 92399-2755 Ph: (909) 790-1951 | Mauricio Dossantos DDS 12033 4th St Suite 7 Yucaipa CA 92399-2755 Ph: (909) 790-1951 |
| NPI Number | 1033567441 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033567441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61711 (California) | Primary |
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