| Santa Martha Dental | |
|
802 S Mountain Ave Ontario CA 91762 | |
| (805) 533-3524 | |
| (905) 933-3527 |
| Full Name | Santa Martha Dental |
|---|---|
| Speciality | Dentist |
| Location | 802 S Mountain Ave, Ontario, California |
| Authorized Official Name and Position | Manuel G Figueroa (PRESIDENT) |
| Authorized Official Contact | 9059533524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Martha Dental 802 S Mountain Ave Ontario CA 91762 Ph: (805) 533-3524 | Santa Martha Dental 802 S Mountain Ave Ontario CA 91762 Ph: (805) 533-3524 |
| NPI Number | 1356359236 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356359236 | NPI | - | NPPES |
| 838185 | Other | DENTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38185 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 38185 (California) | Secondary |
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