Provider Demographics
NPI:1912153297
Name:CORTES, CLAUDIA PATRICIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:PATRICIA
Last Name:CORTES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14384 NARCISSE DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-1088
Mailing Address - Country:US
Mailing Address - Phone:909-452-7883
Mailing Address - Fax:909-452-7889
Practice Address - Street 1:9673 SIERRA AV
Practice Address - Street 2:SUITE C
Practice Address - City:FONTANA
Practice Address - State:CALIFORNIA
Practice Address - Zip Code:92335
Practice Address - Country:UM
Practice Address - Phone:909-452-7883
Practice Address - Fax:909-452-7889
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA570011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice