Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI # | 1154533826 |
| LBN Legal business name | LOMA LINDA UNIVERSITY |
| Authorized official | RODNEY NEAL - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/04/2007 |
| Last updated | 03/18/2020 - About 6 years ago |
| Identifiers | n/a |
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