Individual provider · Type 1 NPI

Mavern Suprono, DDS

Dentist · Colton, CA

NPI number 1023239944 Active

Practice location

1080 E Washington, B
Colton, CA 92324

Mailing address

PO Box 903
Loma Linda, CA 92354

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X27842 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1023239944

Mavern Suprono, DDS's National Provider Identifier is 1023239944, issued on May 1, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Colton, CA. The record was last updated on Jul 8, 2007.