Individual provider · Type 1 NPI
Regina D. Minutello
Periodontics · Corona, CA
NPI number
1104048909
Active
Practice location
770 Magnolia Ave Ste 2E
Corona, CA 92879-3122
Fax (951) 279-7422
Mailing address
16574 Brightridge Ln
Riverside, CA 92503-9702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 036076 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1104048909
Regina D. Minutello's National Provider Identifier is 1104048909, issued on May 2, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Corona, CA. The record was last updated on Jul 8, 2007.