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Contact Information

DENTAL FACULTY ASSOCIATES
25455 BARTON ROAD
SUITE 203B
LOMA LINDA, CA92354
 Phone: (909) 558-6468
 Fax: 909-558-6469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL FACULTY ASSOCIATES

NPI # 1013435403
LBN Legal business name DENTAL FACULTY ASSOCIATES
Authorized official BRENT DUPPER - (OWNER/SENIOR PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2017
Last updated 09/06/2017 - About 2 years ago
Identifiers
CA License # 036077
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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