| A Dental Group Of William E. Vickerman Dds | |
|
18000 Studebaker Rd Ste 365 Cerritos CA 90703-2690 | |
| (562) 202-5741 | |
| Not Available |
| Full Name | A Dental Group Of William E. Vickerman Dds |
|---|---|
| Speciality | Dentist |
| Location | 18000 Studebaker Rd Ste 365, Cerritos, California |
| Authorized Official Name and Position | Benson B. Dimaranan (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5622025741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Dental Group Of William E. Vickerman Dds 18000 Studebaker Rd Ste 365 Cerritos CA 90703-2690 Ph: (562) 202-5741 | A Dental Group Of William E. Vickerman Dds 18000 Studebaker Rd Ste 365 Cerritos CA 90703-2690 Ph: (562) 202-5741 |
| NPI Number | 1356724587 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356724587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27704 (California) | Primary |
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