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Organization
SIMMONS DENTAL CORPORATION
Active
Organization
SIMMONS DENTAL CORPORATION
Active
Other names
Simmons Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD SCOTT SIMMONS DR (OWNER)
(661) 947-3163
Entity
Organization
Contact information
Practice address
1029 ELIZABETH LAKE RD, PALMDALE, CA 93551
(661) 947-3163
(661) 947-0538
Mailing address
1029 ELIZABETH LAKE RD, PALMDALE, CA 93551
(661) 947-3163
(661) 947-0538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24629
CA
122300000X
Dentist
29916
CA
122300000X
Dentist
31979
CA
Other
Enumeration date
09/20/2006
Last updated
02/26/2015
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