Organization · Type 2 NPI
La Verne Modern Dentistry, Prof. Corp.
General Practice Dentistry · La Verne, CA
NPI number
1215857404
Active
Practice location
1500 Foothill Blvd
La Verne, CA 91750-3434
Fax (909) 962-8201
Mailing address
PO Box 660041
Dallas, TX 75266-0041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
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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About NPI 1215857404
La Verne Modern Dentistry, Prof. Corp.'s National Provider Identifier is 1215857404, issued on Jul 17, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Verne, CA. The record was last updated on Sep 29, 2026.