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Organization
LOMA LINDA UNIVERSITY
Active
Organization
LOMA LINDA UNIVERSITY
Active
Other names
Loma Linda University School of Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY DALE NEAL (SR. VICE PRESIDENT)
(909) 558-4543
Entity
Organization
Contact information
Practice address
11092 ANDERSON ST., LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY, LOMA LINDA, CA 92354
(909) 558-4613
(909) 558-4192
Mailing address
11092 ANDERSON ST., LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY, LOMA LINDA, CA 92354
(909) 558-4613
(909) 558-4192
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7547
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
7547
CA
Other
Enumeration date
09/26/2006
Last updated
03/24/2020
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