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Organization
JEFFREY A. SULITZER, DMD, INC
Active
Organization
JEFFREY A. SULITZER, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A. SULITZER DMD (OWNER)
(661) 272-9181
Entity
Organization
Contact information
Practice address
1037 E PALMDALE BLVD, SUITE 203, PALMDALE, CA 93550-4745
(661) 272-9181
(661) 272-8932
Mailing address
1037 E PALMDALE BLVD, SUITE 203, PALMDALE, CA 93550-4745
(661) 272-9181
(661) 272-8932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D51841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004802
LIBERTY DENTAL
CA
01
—
13059
PACIFIC UNION
CA
01
—
1625795
UNITED CONCORDIA
CA
01
—
18391
PACIFIC CARE
CA
01
—
5169
MANAGED DENTAL CARE
CA
01
—
556327
BLUE CROSS
CA
01
—
8108
SAFEGUARD
CA
01
—
F2989
GOLDEN WEST
CA
05
—
G93030-01
—
CA
01
—
G98402-01
DELTA HEALTHY FAMILIES
CA
Enumeration date
01/24/2007
Last updated
11/03/2010
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