| Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc. | |
|
14451 Foothill Blvd. Suite 104 Fontana CA 92335 | |
| (909) 355-6400 | |
| (909) 355-6411 |
| Full Name | Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14451 Foothill Blvd., Fontana, California |
| Authorized Official Name and Position | Marilou Panganiban Medina (DENTIST) |
| Authorized Official Contact | 9093556400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc. 14451 Foothill Blvd. Suite 104 Fontana CA 92335 Ph: (909) 355-6400 | Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc. 14451 Foothill Blvd. Suite 104 Fontana CA 92335 Ph: (909) 355-6400 |
| NPI Number | 1669642963 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669642963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44340 (California) | Primary |
Shriraj Shah Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16184 Foothill Blvd Ste K, Fontana, CA 92335 Phone: 909-770-8916 | |
Canam Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9610 Sierra Ave, Suite 200, Fontana, CA 92335 Phone: 909-219-8700 | |
Gupta Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16049 Baseline Ave Unit 3, Fontana, CA 92336 Phone: 909-356-9752 | |
Seongro Yoon Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7337 East Ave., Suite A, Fontana, CA 92336 Phone: 909-803-2964 Fax: 909-803-2968 | |
Maria C. Gonzalez D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16184 Foothill Blvd Ste K, Fontana, CA 92335 Phone: 909-770-8916 Fax: 909-770-8919 | |
Mahin N Jahromi Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13677 Foothill Blvd Bldg Suitem, Fontana, CA 92335 Phone: 909-330-2273 Fax: 909-330-2144 | |
Lourdes Cardoso Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16701 Valley Blvd Ste D, Fontana, CA 92335 Phone: 909-356-4490 Fax: 909-356-5239 |