Maria Lourdes Ignacio Jeturian DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARIA LOURDES IGNACIO JETURIAN DDS INC

Doing business as

Green River Family Dentistry

Practice address

4300 Green River Rd Ste 105
Corona, CA 92878-2306

Phone

(951) 898-7652

NPI assigned

Apr 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rodolfo Jeturian

Title

Chief Financial Officer

Phone

(714) 609-9119

Specialties & licenses 1

Addresses

Other names 1

• Green River Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Lourdes Jeturian, D.D.S.

  • General Practice Dentistry
  • Corona, CA
  • NPI 1679730972
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1407603327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GREEN RIVER RD STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928782306",
            "telephone_number": "951-898-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GREEN RIVER RD STE 105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928782306",
            "telephone_number": "951-898-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LOURDES IGNACIO JETURIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "JETURIAN",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-609-9119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green River Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lidia Marisela Marcinkowski, D.D.S.
• Victoria Brandy Marcos
• Rachel Marcus, NURSE PRACTITIONER
• Gabriella Maria Mares-Galletta
• Maria Elena Acal D.M.D. a Professional Corporation
• Daisis Mariano
• Monique Cerissa Mariscal, PA-C
• Mark Medical Supplies LLC
• Heather Rae Marmo
• Kelly Marie Maropulos

• Dental Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.