NPI: 1669642963
Provider Name: MARILOU P. MEDINA, DMD, INC.
Doing Business As: MARYKNOLL DENTAL OFFICE OF MARILOU P. MEDINA, DMD, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
14451 FOOTHILL BLVD.
SUITE 104
FONTANA, CA
ZIP 92335
Phone: (909) 355-6400
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MARILOU P. MEDINA, DMD, INC. is a general practice dentist in Fontana, 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. MARILOU P. MEDINA, DMD, INC. NPI is 1669642963. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc..
The provider's business location address is:
14451 FOOTHILL BLVD.
SUITE 104
FONTANA, CA
ZIP 92335
Phone: (909) 355-6400
Fax: (909) 355-6411
The provider's authorized official is Marilou Panganiban Medina .
The authorized official title is Dentist and has the following contact phone number (909) 355-6400.
The enumeration date for this NPI number is 3/3/2008 and was last updated on 12/15/2020.