James B. Duhamel, Dds, Inc | |
13 Main St Valley Springs CA 95252-9299 | |
(209) 772-9649 | |
(209) 772-2415 |
Full Name | James B. Duhamel, Dds, Inc |
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Speciality | Clinic/Center |
Location | 13 Main St, Valley Springs, California |
Authorized Official Name and Position | James B Duhamel (OWNER/PRESIDENT) |
Authorized Official Contact | 2097729649 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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James B. Duhamel, Dds, Inc Po Box 187 Valley Springs CA 95252-0187 Ph: (209) 772-9649 | James B. Duhamel, Dds, Inc 13 Main St Valley Springs CA 95252-9299 Ph: (209) 772-9649 |
NPI Number | 1255631107 |
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Provider Enumeration Date | 10/26/2010 |
Last Update Date | 03/15/2016 |
Medicare PECOS PAC ID | 1951592120 |
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Medicare Enrollment ID | O20110323000562 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255631107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 23820 (California) | Primary |
Provider Name | James B Duhamel |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1730173162 PECOS PAC ID: 9032189790 Enrollment ID: I20040729000631 |
La Contenta Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Vista Del Lago Dr, #11, Valley Springs, CA 95252 Phone: 209-772-0375 |