Mauricio Dossantos Dds

Specialty details in registry · Yucaipa, CA

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At a glance

12033 4Th St, Yucaipa, CA 92399-2755

NPPES record updated May 26, 2016. Public records can lag behind changes at a practice.

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Practice location

12033 4Th St Suite 7
Yucaipa, CA 92399-2755

Professional details: NPI, taxonomy & registry record

NPI1033567441

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223G0001X
Enumeration date: May 26, 2016
Record updated: May 26, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License reported: 61711 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12033 4Th St
Suite 7
Yucaipa, CA 92399-2755

Phone: (909) 790-1951
Fax: (909) 790-1561

Mailing address

12033 4TH ST
SUITE 7
YUCAIPA, CA 923992755

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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