Most Relevant Information
Provider Data
| NPI Number: | 1003265604 |
| Provider Name: | BAMBI MPIANA DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2016 |
| Last Updated: | 08/01/2018 |
Provider Practice Location
1337 N MOUNTAIN AVE STE 1
ONTARIO
CA
91762
Practice Location Phone/Fax
| Phone: | 9093337451 |
| Fax: |
Provider Mailing Location
1337 N MOUNTAIN AVE STE 1
ONTARIO
CA
917621134
Provider Mailing Phone/Fax
| Phone: | 9093337451 |
| Fax: |