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Organization
MAURICIO DOSSANTOS DDS
Active
Organization
MAURICIO DOSSANTOS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICIO DOSSANTOS DDS (OWNER DENTIST)
(909) 709-6766
Entity
Organization
Contact information
Practice address
12033 4TH ST, SUITE 7, YUCAIPA, CA 92399-2755
(909) 790-1951
(909) 790-1561
Mailing address
12033 4TH ST, SUITE 7, YUCAIPA, CA 92399-2755
(909) 790-1951
(909) 790-1561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61711
CA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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