Organization
A DENTAL GROUP OF WILLIAM E. VICKERMAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENSON B. DIMARANAN BSC, RPHT, RDA, OAP (ADMINISTRATIVE DIRECTOR)
(562) 202-5741
Entity
Organization
Contact information
Practice address
18000 STUDEBAKER RD STE 365, CERRITOS, CA 90703-2690
(562) 202-5741
Mailing address
18000 STUDEBAKER RD STE 365, CERRITOS, CA 90703-2690
(562) 202-5741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27704
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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