Individual
JAMES RONALD DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1356 -- A EAST MAIN ST., BARSTOW, CA 92311-3220
(760) 256-8014
Mailing address
1356 -- A EAST MAIN ST., BARSTOW, CA 92311-3220
(760) 256-8014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8448T
CA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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