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Contact Information

MC CORMACK DENTAL XRAY INC.
395 N. SECOND AVE.
UPLAND, CA91786
 Phone: 909-985-3030
 Fax: 909-946-1200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Computed Tomography Radiologic Technologist

2471C3401X
Indicates primary specialty

NPI Profile & details for MC CORMACK DENTAL XRAY INC · (Female)

NPI # 1558895243
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2017
Last updated 04/19/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # RHP00040925
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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