Juanito Maravilla, D.D.S

NPI 1972711315 · on the registry since 2007 · sole proprietor

Practice

Address: 10038 Meadow Way Unit C
Truckee, CA 96161
Phone: (775) 313-7873
Fax: (530) 582-5141
Organisation at this address: Gateway Mountain Center
Gateway Mountain Center, Inc
Truckee Family Eyecare Optometry, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 53

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California