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Organization
FELDKAMP CAL SELECT DENTAL GROUP, INC.
Active
Organization
FELDKAMP CAL SELECT DENTAL GROUP, INC.
Active
Other names
Cal Select Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRVING MOORE FELDKAMP III DDS (PRESIDENT)
(909) 723-1088
Entity
Organization
Contact information
Practice address
164 W HOSPITALITY LN # 107, SAN BERNARDINO, CA 92408-3316
(909) 453-6600
Mailing address
PO BOX 10669, SAN BERNARDINO, CA 92423-0669
(909) 723-1088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21985
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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