| Jeffrey A. Sulitzer, Dmd, Inc | |
|
1037 E Palmdale Blvd Suite 203 Palmdale CA 93550-4745 | |
| (661) 272-9181 | |
| (661) 272-8932 |
| Full Name | Jeffrey A. Sulitzer, Dmd, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1037 E Palmdale Blvd, Palmdale, California |
| Authorized Official Name and Position | Jeffrey A. Sulitzer (OWNER) |
| Authorized Official Contact | 6612729181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey A. Sulitzer, Dmd, Inc 1037 E Palmdale Blvd Suite 203 Palmdale CA 93550-4745 Ph: (661) 272-9181 | Jeffrey A. Sulitzer, Dmd, Inc 1037 E Palmdale Blvd Suite 203 Palmdale CA 93550-4745 Ph: (661) 272-9181 |
| NPI Number | 1437204070 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 11/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437204070 | NPI | - | NPPES |
| 1625795 | Other | CA | UNITED CONCORDIA |
| 8108 | Other | CA | SAFEGUARD |
| F2989 | Other | CA | GOLDEN WEST |
| G93030-01 | Medicaid | CA | |
| 13059 | Other | CA | PACIFIC UNION |
| 004802 | Other | CA | LIBERTY DENTAL |
| 18391 | Other | CA | PACIFIC CARE |
| 5169 | Other | CA | MANAGED DENTAL CARE |
| 556327 | Other | CA | BLUE CROSS |
| G98402-01 | Other | CA | DELTA HEALTHY FAMILIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D51841 (California) | Primary |