Dental Faculty Associates | |
25455 Barton Road Suite 203b Loma Linda CA 92354 | |
(909) 558-6468 | |
(909) 558-6469 |
Full Name | Dental Faculty Associates |
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Speciality | Dentist - General Practice |
Location | 25455 Barton Road, Loma Linda, California |
Authorized Official Name and Position | Brent Dupper (OWNER/SENIOR PARTNER) |
Authorized Official Contact | 9095586468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Faculty Associates 25455 Barton Rd Ste 203b Loma Linda CA 92354-3130 Ph: (909) 558-6468 | Dental Faculty Associates 25455 Barton Road Suite 203b Loma Linda CA 92354 Ph: (909) 558-6468 |
NPI Number | 1013435403 |
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Provider Enumeration Date | 09/06/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013435403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 036077 (California) | Primary |
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