Dodds Dental | |
5580 E 2nd St Suite 202 Long Beach CA 90803-3946 | |
(562) 439-0754 | |
(562) 439-7355 |
Full Name | Dodds Dental |
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Speciality | Clinic/center - Dental |
Location | 5580 E 2nd St, Long Beach, California |
Authorized Official Name and Position | Dustin Roy Covert Dodds (OWNER/PRESIDENT) |
Authorized Official Contact | 5624390754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dodds Dental 5580 E 2nd St Suite 202 Long Beach CA 90803-3946 Ph: (562) 439-0754 | Dodds Dental 5580 E 2nd St Suite 202 Long Beach CA 90803-3946 Ph: (562) 439-0754 |
NPI Number | 1669826897 |
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Provider Enumeration Date | 04/13/2016 |
Last Update Date | 04/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669826897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 64207 (California) | Primary |
261QD0000X | Clinic/center - Dental | 64202 (California) | Secondary |
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