Mauricio Dossantos DDS

NPI #1033567441 in Yucaipa, California

Provider Information

NPI Number: 1033567441
Entity Type: Organization
Organization Name: Mauricio Dossantos DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 12033 4TH ST
Address 2: SUITE 7
City: Yucaipa
State: California
ZIP Code: 92399-2755
Phone: (909) 790-1951

Authorized Official

Name: DR. MAURICIO DOSSANTOS, DDS
Title: OWNER DENTIST
Phone: (909) 709-6766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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