| Anthony Duncan Dds Dominguez Hills Dental Group, Inc. | |
|
20930 Bonita St Ste T Carson CA 90746-3686 | |
| (310) 515-1490 | |
| Not Available |
| Full Name | Anthony Duncan Dds Dominguez Hills Dental Group, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20930 Bonita St Ste T, Carson, California |
| Authorized Official Name and Position | Anthony Duncan (CEO) |
| Authorized Official Contact | 3105151490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Duncan Dds Dominguez Hills Dental Group, Inc. 20930 Bonita St Ste T Carson CA 90746-3686 Ph: (310) 515-1490 | Anthony Duncan Dds Dominguez Hills Dental Group, Inc. 20930 Bonita St Ste T Carson CA 90746-3686 Ph: (310) 515-1490 |
| NPI Number | 1891174009 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891174009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 34086 (California) | Primary |
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