| Feldkamp Hospitality Dental Group | |
|
164 W Hospitality Ln Suite 14 San Bernardino CA 92408-3316 | |
| (909) 888-6919 | |
| (909) 888-0468 |
| Full Name | Feldkamp Hospitality Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 164 W Hospitality Ln, San Bernardino, California |
| Authorized Official Name and Position | Stacey Valdez (ADMINISTRATOR) |
| Authorized Official Contact | 9098886919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Feldkamp Hospitality Dental Group 164 W Hospitality Ln Suite 14 San Bernardino CA 92408-3316 Ph: (909) 888-6919 | Feldkamp Hospitality Dental Group 164 W Hospitality Ln Suite 14 San Bernardino CA 92408-3316 Ph: (909) 888-6919 |
| NPI Number | 1982016838 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982016838 | NPI | - | NPPES |
| 21985 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21985 (California) | Primary |
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