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Dr. Marvin Eiji Ota, DDS
General Practice Dentistry in Yucaipa, California
NPI 1871675165

Marvin Eiji Ota is a General Practice Dentistry based in Yucaipa, CA and is specialized in General Practice. Marvin Eiji Ota practices in Yucaipa, CA and has the professional credentials of DDS. The NPI Number for Marvin Eiji Ota is 1871675165 and holds a License No. 28214 (California).

The current practice location address for Marvin Eiji Ota is 11834 Bryant St Ste 103, Yucaipa, CA and can be reached out via phone at 909-797-8090 and via fax at 909-797-8090.

Location: 11834 Bryant St Ste 103, Yucaipa, CA, 92399-3848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871675165
Provider Name
Marvin Eiji Ota
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11834 Bryant St Ste 103, Yucaipa, CA, 92399-3848
Phone Number
909-797-8090
Fax Number
909-797-8090
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B28214-01 05 CA
institution
Provider Business Practice Location Address Details
Address
11834 Bryant St Ste 103
City
Yucaipa
State
California
Zip
92399-3848
Phone Number
909-797-8090
Fax Number
909-797-8090
person
Provider Business Mailing Address Details
Address
11834 Bryant St Ste 103
City
Yucaipa
State
California
Zip
92399-3848
Phone Number
909-797-8090
Fax Number
909-797-8090
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
28214 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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