Organization · Type 2 NPI

Irene M Justin Wildwood Dental Group

General Practice Dentistry · San Bernardino, CA

NPI number 1689900870 Active

Practice location

3972 N Waterman Ave Ste 110
San Bernardino, CA 92404-1767

Mailing address

2413 S Grove Ave
Ontario, CA 91761-6225

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X51084 (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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About NPI 1689900870

Irene M Justin Wildwood Dental Group's National Provider Identifier is 1689900870, issued on Oct 23, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 23, 2009.