CALVILLO AND PENALBA DENTAL CORP. NPI 1811390578

NPI Information

CALVILLO AND PENALBA DENTAL CORP. is a general practice dentist in Fontana, 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. CALVILLO AND PENALBA DENTAL CORP. NPI is 1811390578. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Golden West Dentistry.

The provider's business location address is:

9922 SIERRA AVE
FONTANA, CA
ZIP 92335-721
Phone: (909) 822-4800
Fax: (909) 822-4899

The provider's authorized official is Wilberto Isaac Penalba .
The authorized official title is Owner/president and has the following contact phone number (951) 675-2690.

The enumeration date for this NPI number is 10/8/2014 and was last updated on 10/8/2014.

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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