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Organization
ONTARIO VILLAGE DENTAL
Active
Organization
ONTARIO VILLAGE DENTAL
Active
Other names
Luis Paniagua DDS Inc, A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS E PANIAGUA DDS (PRESIDENT/DENTIST)
(909) 988-1992
Entity
Organization
Contact information
Practice address
533 W HOLT BLVD, SUITE B, ONTARIO, CA 91762-3732
(909) 988-1992
(909) 988-0542
Mailing address
533 W HOLT BLVD, SUITE B, ONTARIO, CA 91762-3732
(909) 988-1992
(909) 988-0542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37057
CA
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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