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Susan A Bollinger Dds
Customized Equipment (DME) in Newport Beach, California
NPI 1538601117

Susan A Bollinger Dds is a Customized Equipment (DME) based in Newport Beach, CA and is specialized in Customized Equipment. Susan A Bollinger Dds practices in Newport Beach, CA. The NPI Number for Susan A Bollinger Dds is 1538601117 and holds a License No. 26589 (California).

The current practice location address for Susan A Bollinger Dds is 1401 Avocado Ave Ste 309, Newport Beach, CA and can be reached out via phone at 949-759-7007.

Location: 1401 Avocado Ave Ste 309, Newport Beach, CA, 92660-8733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538601117
Provider Name
Susan A Bollinger Dds
Credential
Provider Entity Type
Organization
Address
1401 Avocado Ave Ste 309, Newport Beach, CA, 92660-8733
Phone Number
949-759-7007
Fax Number
Provider Enumeration Date
11/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7560010001 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
1401 Avocado Ave Ste 309
City
Newport Beach
State
California
Zip
92660-8733
Phone Number
949-759-7007
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Avocado Ave Ste 309
City
Newport Beach
State
California
Zip
92660-8733
Phone Number
949-759-7007
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
26589 (California)
Definition
Definition to come...
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