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Dr. Nyasha Michelle Scott, DDS
Pediatric Dentist in Fontana, California
NPI 1356546410

Nyasha Michelle Scott is a Pediatric Dentist based in Fontana, CA and is specialized in Pediatric Dentistry. Nyasha Michelle Scott practices in Fontana, CA and has the professional credentials of DDS. The NPI Number for Nyasha Michelle Scott is 1356546410 and holds a License No. 019.026714 (California).

The current practice location address for Nyasha Michelle Scott is 16465 Sierra Lakes Pkwy Ste 255, Fontana, CA and can be reached out via phone at 909-350-0770 and via fax at 909-350-7070.

Location: 16465 Sierra Lakes Pkwy Ste 255, Fontana, CA, 92336-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356546410
Provider Name
Nyasha Michelle Scott
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
16465 Sierra Lakes Pkwy Ste 255, Fontana, CA, 92336-1264
Phone Number
909-350-0770
Fax Number
909-350-7070
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16465 Sierra Lakes Pkwy Ste 255
City
Fontana
State
California
Zip
92336-1264
Phone Number
909-350-0770
Fax Number
909-350-7070
person
Provider Business Mailing Address Details
Address
16465 Sierra Lakes Pkwy Ste 255
City
Fontana
State
California
Zip
92336-1264
Phone Number
909-350-0770
Fax Number
909-350-7070
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019.026714 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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