# FERNANDO MUNGUIA DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Smile Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598973810
- **Authorized official:** FERNANDO M MUNGUIA DDS (PRESIDENT)
- **Authorized official phone:** (909) 373-4600

## Contact information

- **Practice address:** 1060 W FOOTHILL BLVD, UPLAND, CA 91786-3730
- **Practice address phone:** (909) 373-4600
- **Practice address fax:** (909) 373-4900
- **Mailing address:** 1060 W FOOTHILL BLVD, UPLAND, CA 91786-3730
- **Mailing address phone:** (909) 373-4600
- **Mailing address fax:** (909) 373-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 42578 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 07/31/2024