Mira Loma Dental

NPI #1003440207 in Jurupa Valley, California

Provider Information

NPI Number: 1003440207
Entity Type: Organization
Organization Name: Mira Loma Dental
Primary Specialty: Dentist
Enumeration Date: Feb 26, 2020
Last Updated: Feb 26, 2020

Practice Location

Address: 11058 LIMONITE AVE
City: Jurupa Valley
State: California
ZIP Code: 91752-2120
Phone: (951) 737-6005

Authorized Official

Name: DINESH MAKADIA, DDS
Title: DENTIST/OWNER
Phone: (909) 737-6005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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