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MARIA A. CRUZ-AGUSTIN D.D.S INC NPI 1205053220


NPI Information

NPI: 1205053220
Provider Name: MARIA A. CRUZ-AGUSTIN D.D.S INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1950 S GROVE AVE STE 106A
ONTARIO, CA
ZIP 91761
Phone: (909) 930-1197
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MARIA A. CRUZ-AGUSTIN D.D.S INC is a general practice dentist in Ontario, 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. MARIA A. CRUZ-AGUSTIN D.D.S INC NPI is 1205053220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1950 S GROVE AVE STE 106A
ONTARIO, CA
ZIP 91761-693
Phone: (909) 930-1197
Fax: (909) 930-1233

The provider's authorized official is Sam Agustin .
The authorized official title is Ceo and has the following contact phone number (909) 930-1197.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/23/2009.


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 PracticeBL00065456CALIFORNIAYes

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: 11/14/2023

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