Organization
CHAMPLIN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD LOREN CHAMPLIN MSD DDS INC (OWNER PRESIDENT)
(661) 945-7868
Entity
Organization
Contact information
Practice address
44439 NORTH 17TH STREET WEST, # 205, LANCASTER, CA 93534
(661) 945-7868
(661) 945-4488
Mailing address
44439 NORTH 17TH STREET WEST, # 205, LANCASTER, CA 93534
(661) 945-7868
(661) 945-4488
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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