MEDICARE: MAYRA MUNGUIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	110277	CA
2	1223G0001X	General Practice Dentistry	110277	CA

General Provider Information

NPI Number	:	1457041162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYRA MUNGUIA

Provider Business Mailing Address
First Line	:	1875 N CAMPUS AVE
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91784-8208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1875 N CAMPUS AVE
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91784-8208
Country	:	US
Telephone Number	:	909-985-2302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	12/23/2024

Similar Medicare Providers

1174610638 — LOUIS STROMBERG PROFESSIONAL DENTAL CORPORATION
Practice Location Address:

1875 N CAMPUS AVE , STE. C
UPLAND, CA
91784-8208

Practice Phone: 909-985-2302
Practice Fax: 909-982-4121

1356602130 — DR. VIKRAM NANDA-KUMAR DMD
Practice Location Address:

1875 N CAMPUS AVE
UPLAND, CA
91784-8208

Practice Phone: 909-985-2302
Practice Fax:

1750508974 — FIRSTSIGHT VISION SERVICES, INC.
Practice Location Address:

1202 MONTE VISTA AVE , SUITE 17
UPLAND, CA
91786-8208

Practice Phone: 909-920-5008
Practice Fax: 909-932-0062

1841250065 — DR. THERESA M. RAMOS DMD
Practice Location Address:

1125 EAST 16TH , SUITE 6
UPLAND, CA
91784-9179

Practice Phone: 909-946-8441
Practice Fax: 909-946-8291

1427094689 — ANDREA MARIE LEE PT
Practice Location Address:

1422 SEMINOLE CIR
UPLAND, CA
91784-8043

Practice Phone: 205-862-1926
Practice Fax:

1033134127 — DR. GARY TOTTEN D.M.D.
Practice Location Address:

1667 N MOUNTAIN AVE , SUITE 125
UPLAND, CA
91784-1781

Practice Phone: 909-981-4711
Practice Fax:

Directions to “ MAYRA MUNGUIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.