| Palmdale Dental | |
|
39345 10th St W Ste B Palmdale CA 93551-3779 | |
| (661) 274-8065 | |
| Not Available |
| Full Name | Palmdale Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39345 10th St W Ste B, Palmdale, California |
| Authorized Official Name and Position | Dennis R Fratt (OWNER) |
| Authorized Official Contact | 7144281200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmdale Dental 39345 10th St W Ste B Palmdale CA 93551-3779 Ph: (661) 274-8065 | Palmdale Dental 39345 10th St W Ste B Palmdale CA 93551-3779 Ph: (661) 274-8065 |
| NPI Number | 1568670941 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568670941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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