Individual
DR. MARIO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
847 CASCADE CT W, THE DALLES, OR 97058-4437
(503) 867-1668
Mailing address
847 CASCADE CT W, THE DALLES, OR 97058-4437
(503) 867-1668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60217
CA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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