Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marvin Eiji OTA, DDS

Individual provider General Practice Dentistry · NPI 1871675165

Dr. Marvin Eiji OTA, DDS is a General Practice Dentistry in Yucaipa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

11834 Bryant St Ste 103
Yucaipa, CA 92399-3848
Phone: (909) 797-8090
Fax: (909) 797-8090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 28214 (CA)

Record details

NPI number1871675165
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 9, 2007

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