Organization
LLUSD DENTAL HYGIENE PROGRAM & CLINIC
Active
Parent organization
LOMA LINDA UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOMA LINDA UNIVERSITY
Authorized official
MR. RODNEY DALE NEAL (SR VP FINANCE)
(909) 558-4543
Entity
Organization
Contact information
Practice address
34280 GATEWAY DR, PALM DESERT, CA 92211-0857
(760) 324-2091
(760) 324-9509
Mailing address
11092 ANDERSON ST, LOMA LINDA, CA 92350-1706
(909) 558-4613
(909) 558-4192
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7547
CA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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