Glenn A. Mitoma is a Dentist in Ontario, California. Glenn A. Mitoma practices all healthcare services and medical treatments related to Dentist. The NPI Number for Glenn A. Mitoma is 1770704140. The last update date is 2007-07-08.
Glenn A. Mitoma's current location address is 712 N Euclid Ave, Ontario, California. You can contact this provider via phone number 9099843126 and fax number 9099849416. The mailing address for Glenn A. Mitoma is 712 N Euclid Ave, Ontario, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn A. Mitoma |
|---|---|
| Address | 712 N Euclid Ave, Ontario, California |
| Phone Number | 9099843126 |
| Fax Number | 9099849416 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770704140 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 712 N Euclid Ave |
|---|---|
| City | Ontario |
| State | California (CA) |
| Post Code | 917622712 |
| Phone Number | 9099843126 |
| Fax Number | 9099849416 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25598 |
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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 issued to Glenn A. Mitoma by the Centers for Medicare & Medicaid Services?
The Glenn A. Mitoma has been assigned the NPI (National Provider Identifier) 1770704140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Glenn A. Mitoma's physical address?
The Glenn A. Mitoma is physically located at 712 N Euclid Ave, in the city of Ontario, CA, with the postal code 917622712.
What is the Glenn A. Mitoma's area of specialization and corresponding taxonomy classification?
The Glenn A. Mitoma's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Glenn A. Mitoma receive its 1770704140 assignment from the Centers for Medicare & Medicaid Services?
The Glenn A. Mitoma was assigned its 1770704140 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Glenn A. Mitoma most recently updated or revised?
The details related to Glenn A. Mitoma, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.