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Organization
LONNIE W. TINER, DDS, APC
Active
Organization
LONNIE W. TINER, DDS, APC
Active
Other names
Hi-Desert Oral & Maxillofacial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE W TINER DDS (PRESIDENT OWNER)
(760) 365-0658
Entity
Organization
Contact information
Practice address
56669 29 PALMS HWY, SUITE A, YUCCA VALLEY, CA 92284-5219
(760) 365-0658
(760) 365-5308
Mailing address
56669 29 PALMS HWY, SUITE A, YUCCA VALLEY, CA 92284-5219
(760) 365-0658
(760) 365-5308
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/24/2007
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