Organization
LLU FACULTY DENTAL OFFICE
Active
Parent organization
LOMA LINDA UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOMA LINDA UNIVERSITY
Authorized official
MR. VERLON WAYNE STRAUSS (VICE CHANCELOR, FINANCIAL AFFAIRS)
(909) 558-4611
Entity
Organization
Contact information
Practice address
159 W HOSPITALITY LN, SAN BERNARDINO, CA 92408-3346
(909) 558-4660
(909) 558-0689
Mailing address
1102 ANDERSTON ST, LOMA LINDA, CA 92350-0001
(909) 558-8620
(909) 558-4192
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7547
CA
Other
Enumeration date
07/02/2009
Last updated
11/10/2010
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