Individual provider · Type 1 NPI
Mauricio Dossantos, DDS
General Practice Dentistry · Yucaipa, CA
NPI number
1104176817
Active
Practice location
12033 4th St Ste 7
Yucaipa, CA 92399-2755
Fax (909) 790-1561
Other practice locations
- 1745 N Riverside Ave, Rialto, CA 92376-8062 · (909) 874-0132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 61711 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Sudhakar R. Chokka, DDSGeneral Practice Dentistry Yucaipa, CA NPI 1275635385
- Sara Al TallyGeneral Practice Dentistry Yucaipa, CA NPI 1316785561
- Sooh ParkGeneral Practice Dentistry Yucaipa, CA NPI 1477956175
- Jeein KimGeneral Practice Dentistry Yucaipa, CA NPI 1497462295
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About NPI 1104176817
Mauricio Dossantos, DDS's National Provider Identifier is 1104176817, issued on Sep 11, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Yucaipa, CA. The record was last updated on Dec 13, 2023.