Organization · Type 2 NPI

Marilou P. Medina, Dmd, Inc.

General Practice Dentistry · Fontana, CA

NPI number 1669642963 Active

Practice location

14451 Foothill Blvd., Suite 104
Fontana, CA 92335

Fax (909) 355-6411

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	44340 (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.

Other general practice dentistry providers in Fontana

See all in Fontana →

NPI record

NPI: 1669642963
Entity type: Organization (Type 2)
Issued: Mar 3, 2008
Last updated: Dec 15, 2020
Status: Active

Other names

<unavail>
Maryknoll Dental Office of Marilou P. Medina, Dmd, Inc. · doing business as

Authorized official

Dr. Marilou Panganiban Medina, DMD
Dentist
(909) 355-6400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1669642963

Marilou P. Medina, Dmd, Inc.'s National Provider Identifier is 1669642963, issued on Mar 3, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fontana, CA. The record was last updated on Dec 15, 2020.