Organization
LOMA LINDA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY DALE NEAL (VICE PRESIDENT)
(909) 558-4543
Entity
Organization
Contact information
Practice address
11092 ANDERSON STREET, LOMA LINDA, CA 92354
(909) 558-4613
(909) 558-4192
Mailing address
11092 ANDERSON STREET, LOMA LINDA, CA 92354
(909) 558-4613
(909) 558-4192
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
2055
CA
Other
Enumeration date
03/16/2007
Last updated
03/18/2020
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