DR. Marvin Eiji Ota, D.D.S.
NPI #1871675165 in Yucaipa, California
Provider Information
- NPI Number
- 1871675165
- Entity Type
- Individual
- Name
- DR. Marvin Eiji Ota, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 11834 BRYANT ST STE 103
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-3848
- Phone
- (909) 797-8090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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