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Organization
UPLAND DERMATOLOGY CENTER
Active
Organization
UPLAND DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY FORTICH (BILLING SUPERVISOR)
(909) 860-7600
Entity
Organization
Contact information
Practice address
1113 N ALTA #103, UPLAND, CA 91786
(909) 932-0014
Mailing address
P.O. BOX 15807, BEVERLY HILL, CA 90209
(909) 860-7600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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