Provider Type Icon

CLINICA DENTAL FAMILIAR SAN JUDAS TADEO NPI 1801029681


NPI Information

NPI: 1801029681
Provider Name: CLINICA DENTAL FAMILIAR SAN JUDAS TADEO

Doing Business As: LOURDES CARDOSO DDS INC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1245 N GROVE AVE STE C
ONTARIO, CA
ZIP 91764
Phone: (909) 458-1068
Get Directions

CLINICA DENTAL FAMILIAR SAN JUDAS TADEO 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. CLINICA DENTAL FAMILIAR SAN JUDAS TADEO NPI is 1801029681. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lourdes Cardoso Dds Inc.

The provider's business location address is:

1245 N GROVE AVE STE C
ONTARIO, CA
ZIP 91764-557
Phone: (909) 458-1068
Fax: (909) 988-0792

The provider's authorized official is Elizabeth Duarte .
The authorized official title is Biller and has the following contact phone number (909) 988-1800.

The enumeration date for this NPI number is 8/27/2009 and was last updated on 8/27/2009.


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 Practice50895CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.