DR. Irene Malavika Justin, DDS
NPI #1518080597 in Ranchocucamonga, California
Provider Information
- NPI Number
- 1518080597
- Entity Type
- Individual
- Name
- DR. Irene Malavika Justin, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jan 28, 2015
Practice Location
- Address
- 10186 MONACO PL
- City
- Ranchocucamonga
- State
- California
- ZIP Code
- 91737
- Phone
- (951) 536-8419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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