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MYLAD DENTAL CORPORATION
NPI 1215712906
Dentist - General Practice in Moreno Valley, CA

Active since August 30, 2023
24119 HEMLOCK AVE STE 108, MORENO VALLEY, CA 92557(951) 220-6980(951) 465-2634 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mylad Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYLAD DENTAL CORPORATION (NPI 1215712906), doing business as Moreno Valley Modern Dentistry, is a healthcare organization registered as a general practice in Moreno Valley, California and active in the NPI registry since August 2023. The organization lists Botamena Mylad, Owner, as its authorized official.

NPPES Registry Identity

NPI1215712906
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMYLAD DENTAL CORPORATION
Location Address24119 HEMLOCK AVE STE 108Moreno Valley, CA 92557-7221
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(951) 220-6980
Fax(951) 465-2634
Organization SubpartNo
Authorized OfficialBotamena MyladOwner · (951) 220-6980
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1215712906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
24119 HEMLOCK AVE STE 108, Moreno Valley, CA 92557
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Other Names 1

Doing Business AsMoreno Valley Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOAH POOLE DDS
Dentist
24119 HEMLOCK AVE STE 108
MORENO VALLEY, CA 92557
Riverside County (951) 220-6980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mylad Dental Corporation's NPI number?

The NPI number for Mylad Dental Corporation is 1215712906. It was assigned to this organization in the NPPES registry on August 30, 2023. The provider is doing business as Moreno Valley Modern Dentistry.

Where is Mylad Dental Corporation located?

Mylad Dental Corporation is located at 24119 Hemlock Ave Ste 108, Moreno Valley, CA 92557. The listed phone number is (951) 220-6980.

What is Mylad Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mylad Dental Corporation was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.