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DIMITRI DENTAL CORPORATION NPI 1346349685


NPI Information

NPI: 1346349685
Provider Name: DIMITRI DENTAL CORPORATION

Doing Business As: GATEWAY DENTAL GROUP AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12571 LIMONITE AVE
STE. 230
MIRA LOMA, CA
ZIP 91752
Phone: (951) 360-3444
Get Directions

DIMITRI DENTAL CORPORATION is a general practice dentist in Mira Loma, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DIMITRI DENTAL CORPORATION NPI is 1346349685. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gateway Dental Group And Orthodontics.

The provider's business location address is:

12571 LIMONITE AVE
STE. 230
MIRA LOMA, CA
ZIP 91752-676
Phone: (951) 360-3444
Fax: (951) 360-3484

The provider's authorized official is Rami Dimitri .
The authorized official title is Owner and has the following contact phone number (951) 360-3444.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 10/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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