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Organization
IRVING M. FELDKAMP DDS
Active
Organization
IRVING M. FELDKAMP DDS
Active
Other names
Feldkamp Hospitality Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY VALDEZ (ADMINISTRATOR)
(909) 888-6919
Entity
Organization
Contact information
Practice address
164 W HOSPITALITY LN, SUITE 14, SAN BERNARDINO, CA 92408-3316
(909) 888-6919
(909) 888-0468
Mailing address
164 W HOSPITALITY LN, SUITE 14, SAN BERNARDINO, CA 92408-3316
(909) 888-6919
(909) 888-0468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21985
DENTAL LICENSE
CA
Enumeration date
05/27/2014
Last updated
05/27/2014
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