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Organization
FELDKAMP CAL SELECT DENTAL GROUP, INC.
Active
Organization
FELDKAMP CAL SELECT DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING MOORE FELDKAMP III DDS (OWNER)
(909) 453-6600
Entity
Organization
Contact information
Practice address
164 W HOSPITALITY LN STE 127, SAN BERNARDINO, CA 92408-3316
(909) 453-6600
Mailing address
164 W. HOSPITALITY LANE, SUITE 127, SAN BERNARDINO, CA 92408-3329
(909) 723-1088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
08/18/2020
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