MONTCLAIR PLAZA DENTAL GROUP NPI 1134332703

NPI Information

MONTCLAIR PLAZA DENTAL GROUP is a general practice dentist in Montclair, 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. MONTCLAIR PLAZA DENTAL GROUP NPI is 1134332703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5182 N MONTCLAIR PLAZA LN
MONTCLAIR, CA
ZIP 91763-515
Phone: (909) 626-3566
Fax: (909) 626-6112

The provider's authorized official is Vijay B Patel .
The authorized official title is Owner/dds and has the following contact phone number (909) 920-0696.

The CLIA number assigned to this NPI record is 05D0563949 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 5/16/2016.

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:

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