Ingrid Mack Dds A Professional Dental Corporation

NPI 1114206828 - Dentist - 1223G0001X

NPI Details
NPI 1114206828
Enumeration Date 08/11/2011
Last Updated 04/20/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name INGRID INGRID
Position DENTIST
Phone (909) 947-0670
Fax (909) 999-8089
Practice Location
2598 S ARCHIBALD AVE STE C
ONTARIO CA, 91761-6500, US
Phone (909) 947-0670
Fax (909) 999-8089
Business Location
2598 S ARCHIBALD AVE STE C
ONTARIO CA, 91761-6500, US
Phone (909) 947-0670
Fax (909) 999-8089
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 53243
Remove 1114206828 NPI Number
 

According to our database, Ingrid Mack Dds A Professional Dental Corporation NPI is 1114206828, taxonomy code is 1223G0001X and license number is 53243, license state is located at California. Ingrid Mack Dds A Professional Dental Corporation physically located at 2598 S Archibald Ave Ste C, Ontario CA, 91761-6500. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1114206828 NPI number is provided on an as is basis without warranty of any kind. 1114206828 is maintained by the National Plan & Provider Enumeration System. The contents of Ingrid Mack Dds A Professional Dental Corporation are for informational purposes only.