Individual
DAVID A DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
39252 WINCHESTER RD, STE. 127, MURRIETA, CA 92563-3509
(951) 600-9226
(866) 268-5876
Mailing address
39252 WINCHESTER RD, STE. 127, MURRIETA, CA 92563-3509
(951) 600-9226
(866) 268-5876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10758T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0107580
—
CA
Enumeration date
07/05/2006
Last updated
03/02/2009
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