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Anthony Duncan DDS Dominguez Hills Dental Group, INC.

Clinic/Center, Dental in Carson, CA. Organization (NPI-2).

NPI number1891174009
StatusActive
Last updated in NPPESMay 20, 2015

Details

NPI
1891174009
Entity type
Organization (NPI-2)
Legal business name
Anthony Duncan DDS Dominguez Hills Dental Group, INC.
Organization subpart
No
Enumeration date
May 20, 2015
Last updated
May 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental34086CAYes

Practice location

20930 Bonita St Ste T
Carson, CA 90746-3686

Phone 310-515-1490

Mailing address

20930 Bonita St Ste T
Carson, CA 90746-3686

Phone 310-515-1490

Authorized official

Anthony Duncan
Ceo
3105151490

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