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Organization
VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM
Active
Organization
VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM
Active
Other names
Victor Valley Community Dental Service Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRANCIS LINDSAY (EXECUTIVE DIRECTOR)
(760) 951-9181
Entity
Organization
Contact information
Practice address
14357 SEVENTH ST, VICTORVILLE, CA 92395-4209
(760) 951-9181
(760) 951-9308
Mailing address
14357 SEVENTH ST, VICTORVILLE, CA 92395-4209
(760) 951-9181
(760) 951-9308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17394
CA
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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