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Organization
WHEELER DENTAL GROUP INC.
Active
Organization
WHEELER DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA N FORTIN (OFFICE MANAGER)
(760) 949-2241
Entity
Organization
Contact information
Practice address
18313 BEAR VALLEY RD, HESPERIA, CA 92345-4970
(760) 949-2241
(760) 949-1756
Mailing address
18313 BEAR VALLEY RD, HESPERIA, CA 92345-4970
(760) 949-2241
(760) 949-1756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942456066
NPPES
CA
Enumeration date
04/05/2019
Last updated
04/05/2019
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