Organization Name: | JAMES B. DUHAMEL, DENTAL CORPORATION |
NPI Number: | 1952798894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES BRIAN DUHAMEL (OWNER/PRESIDENT) |
Mailing Address: | 13 Main St Valley Springs |
State: | CA US |
Postal Code: | 952529299 |
Phone Number: | 2097729600 |
Fax Number: | 2097728666 |
NPI Enumeration Date: | 04/17/2015 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 23820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |