Individual provider · Type 1 NPI
Marvin Eiji Ota, DDS
General Practice Dentistry · Yucaipa, CA
NPI number
1871675165
Active
Practice location
11834 Bryant St Ste 103
Yucaipa, CA 92399-3848
Fax (909) 797-8090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 28214 (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 1871675165
Marvin Eiji Ota, DDS's National Provider Identifier is 1871675165, issued on Oct 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Yucaipa, CA. The record was last updated on Jul 9, 2007.