Individual
MICHAEL JOHN BELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD INC
Contact information
Practice address
10470 FOOTHILL BLVD, SUITE 122, RANCHO CUCAMONGA, CA 91730-3754
(909) 989-2303
Mailing address
9471 JACK RABBIT DR, UNIT 103, RANCHO CUCAMONGA, CA 91730-2776
(909) 483-6864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
52203
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A90801
CA
Other
Enumeration date
10/05/2006
Last updated
06/28/2016
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