Marvin E. Ota, DDS
NPI #1699901082 in Yucaipa, California
Provider Information
- NPI Number
- 1699901082
- Entity Type
- Organization
- Organization Name
- Marvin E. Ota, DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 31, 2009
- Last Updated
- May 31, 2009
Practice Location
- Address
- 11834 BRYANT ST
- Address 2
- SUITE 103
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-3815
- Phone
- (909) 797-8090
Authorized Official
- Name
- DR. MARVIN EIJI OTA, D.D.S.
- Title
- OWNER
- Phone
- (909) 797-8090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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