Organization
DAVID W. DORFMAN, MD, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WADE DORFMAN M.D., D.D.S. (CEO)
(949) 387-6653
Entity
Organization
Contact information
Practice address
881 ALMA REAL DR, SUITE 204, PACIFIC PALISADES, CA 90272-3731
(310) 857-2088
Mailing address
881 ALMA REAL DR, SUITE 204, PACIFIC PALISADES, CA 90272-3731
(310) 857-2088
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
A106340
CA
208200000X
Plastic Surgery Physician
Primary
A106340
CA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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