Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc.

LBN: Marilou P. Medina, Dmd, Inc.
Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc. is an health care organization with primary practice located at 14451 Foothill Blvd. Suite 104, Fontana CA 92335. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Marilou P. Medina, Dmd, Inc. can be contacted via phone (909) 355-6400, or through Medina, Marilou Panganiban via phone (909) 355-6400.

Contact Information

Primary practice address
14451 Foothill Blvd. Suite 104 Fontana CA 92335
Phone: (909) 355-6400
Fax: (909) 355-6411
Website:
Map and Directions
Authorized official contact:
Name: Medina, Marilou Panganiban Doctor of Dental Medicine (DMD)
Phone: (909) 355-6400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 44340 California

Profile Details

NPI number 1669642963
LBN Legal business name Marilou P. Medina, Dmd, Inc.
DBA Doing business as Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc.
Authorized official Medina, Marilou Panganiban Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2008
Last updated Dec 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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