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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Dentist · LOOMIS, CA

Registration Details

NPI Number
1598197592
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2013 (12.785466384069 yrs)
Last Updated
Mar 11, 2024
License
62690 (CA)

Practice Information

Address
3475 TAYLOR RD
LOOMIS, CA, 956509583
Browse CA providers · Browse ZIP 95650
Phone
9166525424
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LOOMIS, CA

Name Credential NPI
DR. JON PETER VANDEWALKER DDS, MS, FAGD, ABGD 1366671208
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.