Individual
DR. DAVID SCOTT DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11354 MOUNTAIN VIEW AVE, SUITE B, LOMA LINDA, CA 92354-3855
(909) 796-5199
(909) 796-2950
Mailing address
PO BOX 1239, LOMA LINDA, CA 92354-1239
(909) 796-5199
(909) 796-2950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330324481
TAX I.D #
CA
01
—
776400
UNITED CONCORDIA INSURANC
—
Enumeration date
06/21/2007
Last updated
02/05/2015
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