MAVERN SUPRONO

COLTON, CA
NPI1023239944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  27842)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Mr. MAVERN SUPRONO DDS
1080 E WASHINGTON B
COLTON, CA 92324
Phone number: 909-783-9099
Mailing Address
Mr. MAVERN SUPRONO DDS
PO BOX 903
LOMA LINDA, CA 92354
Phone number: 909-783-9099
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