Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MAVERN SUPRONO DDS INC
Active
Organization
MAVERN SUPRONO DDS INC
Active
Other names
Dental Associates of Colton and Dental Associates of Pomona
Organization subpart
No
Provider details
NPI number
Authorized official
MAVERN S SUPRONO DDS (PRESIDENT)
(909) 783-9099
Entity
Organization
Contact information
Practice address
1080 E WASHINGTON ST, SUITE B, COLTON, CA 92324
(909) 783-9099
(909) 824-1677
Mailing address
PO BOX 903, LOMA LINDA, CA 92354
(909) 783-9099
(909) 824-1677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up