LIBERTY VILLAGE DENTAL CARE NPI 1710248364

NPI Information

NPI: 1710248364
Provider Name: LIBERTY VILLAGE DENTAL CARE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
13790 BEAR VALLEY RD
E5
VICTORVILLE, CA
ZIP 92392
Phone: (760) 955-2273
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LIBERTY VILLAGE DENTAL CARE is a dental clinic center in Victorville, CA. LIBERTY VILLAGE DENTAL CARE NPI is 1710248364. The provider is registered as an organization entity type.

The provider's business location address is:

13790 BEAR VALLEY RD
E5
VICTORVILLE, CA
ZIP 92392-699
Phone: (760) 955-2273
Fax: (760) 955-0034

The provider's authorized official is Mindy Torres .
The authorized official title is Manager and has the following contact phone number (760) 955-2273.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 5/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	35018	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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