Lidia A Mendoza is a Ontario, California based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Lidia A Mendoza is 42571 for General Practice Dentistry in California. Her current practice location is 1511 W Holt Blvd Ste E, Ontario. Patients can reach her at 909-966-8877.
Lidia A Mendoza is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Lidia A Mendoza speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Lidia A Mendoza
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1511 W Holt Blvd Ste E, Ontario, California, 91762-3657
Phone:
909-966-8877
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1982667234
NPI Enumeration Date:
08 Apr, 2006
NPI Last Update On:
07 Nov, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lidia A Mendoza are as mentioned below.
License Number
Specialization
State
Status
42571
General Practice Dentistry
California
Primary
42571
Dentistry
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lidia A Mendoza such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
B42571-01
Other
California
DENTI-CAL (PROVIDER NUMBE
330892867
Other
California
FEIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
622 Brentwood Ave, Upland, California
Zip:
91786-4329
Phone Number:
909-237-6438
Patients can reach Lidia A Mendoza at 1511 W Holt Blvd Ste E, Ontario, California or can call to book an appointment on 909-966-8877. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.