Individual provider · Type 1 NPI
James S. Minutello
Periodontics · Corona, CA
NPI number
1457564296
Active
Practice location
770 Magnolia Ave Suite 2-E
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 | 035298 (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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- Regina D. MinutelloPeriodontics Corona, CA NPI 1104048909
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About NPI 1457564296
James S. Minutello's National Provider Identifier is 1457564296, issued on May 8, 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.