BONNIE J. RETAMOZO DDS MSD NPI 1497996078

NPI Information

NPI: 1497996078
Provider Name: BONNIE J. RETAMOZO, DDS, MSD
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
24099 POSTAL AVE
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 601-1290
Get Directions

Bonnie J. Retamozo, DDS, MSD is an endodontics dentist in Moreno Valley, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Bonnie J. Retamozo, DDS, MSD NPI is 1497996078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24099 POSTAL AVE
MORENO VALLEY, CA
ZIP 92553-778
Phone: (951) 601-1290
Fax: (951) 601-1292

The enumeration date for this NPI number is 3/12/2009 and was last updated on 3/11/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	54396	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54396	OTHER	CALIFORNIA	STATE LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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