Provider Demographics
NPI:1568897163
Name:CESAR Z MAMANI-CANCINO DDS INC
Entity Type:Organization
Organization Name:CESAR Z MAMANI-CANCINO DDS INC
Other - Org Name:GLOBAL DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:Z
Authorized Official - Last Name:MAMANI-CANCINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-296-1335
Mailing Address - Street 1:41790 WINCHESTER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4847
Mailing Address - Country:US
Mailing Address - Phone:951-296-1335
Mailing Address - Fax:951-296-1338
Practice Address - Street 1:41790 WINCHESTER RD
Practice Address - Street 2:SUITE D
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4847
Practice Address - Country:US
Practice Address - Phone:951-296-1335
Practice Address - Fax:951-296-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty