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Loma Linda University
Pediatric Dentist in Loma Linda, California
NPI 1588860217

Loma Linda University is a Pediatric Dentist based in Loma Linda, CA and is specialized in Pediatric Dentistry. Loma Linda University practices in Loma Linda, CA. The NPI Number for Loma Linda University is 1588860217 and holds a License No. G91288-01 (California).

The current practice location address for Loma Linda University is 11092 Anderson Street, Loma Linda, CA and can be reached out via phone at 909-558-4613 and via fax at 909-558-4192.

Location: 11092 Anderson Street, Loma Linda, CA, 92354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588860217
Provider Name
Loma Linda University
Credential
Provider Entity Type
Organization
Address
11092 Anderson Street, Loma Linda, CA, 92354
Phone Number
909-558-4613
Fax Number
909-558-4192
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G91288-01 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
11092 Anderson Street
City
Loma Linda
State
California
Zip
92354
Phone Number
909-558-4613
Fax Number
909-558-4192
person
Provider Business Mailing Address Details
Address
11092 Anderson Street
City
Loma Linda
State
California
Zip
92354
Phone Number
909-558-4613
Fax Number
909-558-4192
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
G91288-01 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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