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Organization
DIZON AND LAM DMD INC.
Active
Organization
DIZON AND LAM DMD INC.
Active
Other names
YOLO DENTAL PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA OLIMPIADA DIZON (DENTIST)
(530) 662-8100
Entity
Organization
Contact information
Practice address
520 COTTONWOOD ST STE 9, WOODLAND, CA 95695-3603
(530) 662-8100
(530) 662-8101
Mailing address
520 COTTONWOOD ST STE 9, WOODLAND, CA 95695-3603
(530) 662-8100
(530) 662-8101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
882840
UNITED CONCORDIAN ID.
PA
05
—
G92201-05
—
CA
Enumeration date
06/06/2007
Last updated
01/13/2016
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