Wilmington Dental | |
1610 N Avalon Blvd Wilmington CA 90744-1431 | |
(310) 835-3131 | |
Not Available |
Full Name | Wilmington Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1610 N Avalon Blvd, Wilmington, 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 |
---|---|
Wilmington Dental 1610 N Avalon Blvd Wilmington CA 90744-1431 Ph: (310) 835-3131 | Wilmington Dental 1610 N Avalon Blvd Wilmington CA 90744-1431 Ph: (310) 835-3131 |
NPI Number | 1174731566 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174731566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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