| Llu Faculty Dental Office | |
|
159 W Hospitality Ln San Bernardino CA 92408-3346 | |
| (909) 558-4660 | |
| (909) 558-0689 |
| Full Name | Llu Faculty Dental Office |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 159 W Hospitality Ln, San Bernardino, California |
| Authorized Official Name and Position | Verlon Wayne Strauss (VICE CHANCELOR, FINANCIAL AFFAIRS) |
| Authorized Official Contact | 9095584611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Llu Faculty Dental Office 1102 Anderston St Loma Linda CA 92350-0001 Ph: (909) 558-8620 | Llu Faculty Dental Office 159 W Hospitality Ln San Bernardino CA 92408-3346 Ph: (909) 558-4660 |
| NPI Number | 1134358815 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134358815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7547 (California) | Primary |
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