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Organization
JAMES SURDILLA DDS
Active
Organization
JAMES SURDILLA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SURDILLA DDS (PRESIDENT)
(562) 633-8848
Entity
Organization
Contact information
Practice address
3557 E SOUTH ST, LONG BEACH, CA 90805-4519
(562) 633-8848
(562) 633-6303
Mailing address
10929 SOUTH ST STE 114B, CERRITOS, CA 90703-5365
(562) 924-2711
(562) 924-0288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D46529
DENTI-CAL
CA
Enumeration date
08/30/2007
Last updated
10/09/2015
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