Llu Faculty Dental Office | |
159 W Hospitality Ln San Bernardino CA 92408-3346 | |
(909) 558-4660 | |
(909) 558-0689 |
Full Name | Llu Faculty Dental Office |
---|---|
Speciality | Clinic/center - Dental |
Location | 159 W Hospitality Ln, San Bernardino, California |
Authorized Official Name and Position | Verlon Wayne Strauss (VICE CHANCELOR, FINANCIAL AFFAIRS) |
Authorized Official Contact | 9095584611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Llu Faculty Dental Office 1102 Anderston St Loma Linda CA 92350-0001 Ph: (909) 558-8620 | Llu Faculty Dental Office 159 W Hospitality Ln San Bernardino CA 92408-3346 Ph: (909) 558-4660 |
NPI Number | 1134358815 |
---|---|
Provider Enumeration Date | 07/02/2009 |
Last Update Date | 11/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134358815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 7547 (California) | Primary |
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