Mavern Suprono is a Dentist in Loma Linda, California. Mavern Suprono practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mavern Suprono is 1023239944. The last update date is 2007-07-08.
Mavern Suprono's current location address is Po Box 903, Loma Linda, California. You can contact this provider via phone number 9097839099. The mailing address for Mavern Suprono is Po Box 903, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mavern Suprono |
|---|---|
| Address | Po Box 903, Loma Linda, California |
| Phone Number | 9097839099 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023239944 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 903 |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 92354 |
| Phone Number | 9097839099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 27842 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Mavern Suprono by the Centers for Medicare & Medicaid Services?
The Mavern Suprono has been issued the NPI (National Provider Identifier) 1023239944 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mavern Suprono is located?
The Mavern Suprono is situated at the following address: Po Box 903, Loma Linda, CA, 92354.
What is Mavern Suprono's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mavern Suprono's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1023239944 assigned to Mavern Suprono?
The Mavern Suprono was issued its 1023239944 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mavern Suprono most recently updated?
The details pertaining to the Mavern Suprono, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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