OrganizationActive
Mavern Suprono DDS Inc
NPI 1477622165 · Dentist · Colton, CA
Mavern Suprono DDS Inc is a Dentist organization in Colton, CA (NPI 1477622165).
Provider details
- NPI number
- 1477622165
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mavern Suprono, President(909) 783-9099
Practice location
1080 E Washington St
Suite B
Colton, CA 92324
Phone: (909) 783-9099
Fax: (909) 824-1677
Street-level locationGet directions
Mailing address
Po Box 903
Loma Linda, CA 92354
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.