Ontario Village Dental

NPI #1194821058 in Ontario, California

Provider Information

NPI Number: 1194821058
Entity Type: Organization
Organization Name: Ontario Village Dental
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 533 W HOLT BLVD
Address 2: SUITE B
City: Ontario
State: California
ZIP Code: 91762-3732
Phone: (909) 988-1992

Authorized Official

Name: DR. LUIS E PANIAGUA, DDS
Title: PRESIDENT/DENTIST
Phone: (909) 988-1992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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