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39345 10th St W Ste B Palmdale CA 93551-3779 | |
(661) 274-8065 | |
Not Available |
Full Name | |
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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 |
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39345 10th St W Ste B Palmdale CA 93551-3779 Ph: (661) 274-8065 | 39345 10th St W Ste B Palmdale CA 93551-3779 Ph: (661) 274-8065 |
NPI Number | 1568670941 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1568670941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |