| Ontario Village Dental | |
|
533 W. Holt Blvd. Suite B Ontario CA 91762 | |
| (909) 988-1992 | |
| (909) 988-0542 |
| Full Name | Ontario Village Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 533 W. Holt Blvd., Ontario, California |
| Authorized Official Name and Position | Ned Paniagua (DENTIST/OWNER) |
| 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 Ph: (909) 988-1992 | Ontario Village Dental 533 W. Holt Blvd. Suite B Ontario CA 91762 Ph: (909) 988-1992 |
| NPI Number | 1548630940 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548630940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 49968 (California) | Primary |
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