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MLD DENTAL INC NPI 1689183907


NPI Information

NPI: 1689183907
Provider Name: MLD DENTAL INC

Doing Business As: CHAPMAN SMILES CENTER

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
9448 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92503
Phone: (951) 343-0123
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MLD DENTAL INC is a dental clinic center in Riverside, CA. MLD DENTAL INC NPI is 1689183907. The provider is registered as an organization entity type.
The provider Is Doing Business As Chapman Smiles Center.

The provider's business location address is:

9448 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92503-700
Phone: (951) 343-0123
Fax: (714) 984-0246

The provider's authorized official is Mathew T Luu .
The authorized official title is Dentist and has the following contact phone number (714) 261-4243.

The enumeration date for this NPI number is 9/29/2017 and was last updated on 9/29/2017.


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
1261QD0000XClinic/CenterDental49141CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9363301MEDICAIDCALIFORNIA

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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