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MARYKNOLL DENTAL OFFICE OF MARILOU P. MEDINA, DMD, INC.
NPI 1669642963
Dentist - General Practice in Fontana, CA

Active since March 03, 2008
14451 FOOTHILL BLVD., SUITE 104, FONTANA, CA 92335(909) 355-6400(909) 355-6411 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc. NPPES

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

MARYKNOLL DENTAL OFFICE OF MARILOU P. MEDINA, DMD, INC. (NPI 1669642963) is a healthcare organization registered as a general practice in Fontana, California and active in the NPI registry since March 2008. The organization lists Marilou Panganiban Medina, Dentist, as its authorized official.

NPPES Registry Identity

NPI1669642963
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARILOU P. MEDINA, DMD, INC.
Location Address14451 FOOTHILL BLVD., SUITE 104Fontana, CA 92335
Mailing Address14451 Foothill Blvd., Suite 104Fontana, CA 92335 · (909) 355-6400 · Fax (909) 355-6411
Phone(909) 355-6400
Fax(909) 355-6411
Organization SubpartNo
Authorized OfficialMarilou Panganiban MedinaDentist · (909) 355-6400
Enumeration DateMarch 3, 2008
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1669642963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 44340
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.

14451 FOOTHILL BLVD., Fontana, CA 92335
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Other Names 1

Doing Business AsMaryknoll Dental Office Of Marilou P. Medina, Dmd, Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Marilou P. Medina, Dmd, Inc.'s NPI number?

The NPI number for Marilou P. Medina, Dmd, Inc. is 1669642963. It was assigned to this organization in the NPPES registry on March 3, 2008. The provider is doing business as Maryknoll Dental Office Of Marilou P. Medina, Dmd, Inc..

Where is Marilou P. Medina, Dmd, Inc. located?

Marilou P. Medina, Dmd, Inc. is located at 14451 Foothill Blvd. Suite 104, Fontana, CA 92335. The listed phone number is (909) 355-6400.

What is Marilou P. Medina, Dmd, Inc.'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 Marilou P. Medina, Dmd, Inc. was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.