Liberty Village Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

35018 Issued in CA

Legal business name

LIBERTY VILLAGE DENTAL CARE

Practice address

13790 Bear Valley Rd
E5
Victorville, CA 92392-8699

Phone

(760) 955-2273

Fax

(760) 955-0034

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Mindy Torres

Title

Manager

Phone

(760) 955-2273

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Aguila, DDS

  • Dentist
  • Victorville, CA
  • NPI 1184753071
  NPD (past)
• Armando Quintana Jr., D.D.S.

  • General Practice Dentistry
  • Victorville, CA
  • NPI 1053443424
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1710248364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13790 BEAR VALLEY RD",
            "address_2": "E5",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928699",
            "telephone_number": "760-955-2273",
            "fax_number": "760-955-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13790 BEAR VALLEY RD",
            "address_2": "E5",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928699",
            "telephone_number": "760-955-2273",
            "fax_number": "760-955-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY VILLAGE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-955-2273"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "35018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Lewis
• Monique Ellen Leyva-Olivera, LPT
• Ray Joanne Leyva, RCFE ADMINISTRATOR
• Siyao Li
• Jack Yanzhen Liang, M.D.
• Joseph Licon
• Life Skills Awareness
• Life Skills Awareness a Psychology Professional Corporation
• Lifecare Solutions Inc
• Anne Michaela Mulder Ligman, DDS

• Dental Clinic/Center in Victorville, CA
• Providers in Victorville, 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 May 30, 2012; 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.