A Dental Group of William E. Vickerman DDS

NPI #1356724587 in Cerritos, California

Provider Information

NPI Number: 1356724587
Entity Type: Organization
Organization Name: A Dental Group of William E. Vickerman DDS
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2015
Last Updated: Jul 7, 2015

Practice Location

Address: 18000 STUDEBAKER RD STE 365
City: Cerritos
State: California
ZIP Code: 90703-2690
Phone: (562) 202-5741

Authorized Official

Name: MR. BENSON B. DIMARANAN, BSC, RPHT, RDA, OAP
Title: ADMINISTRATIVE DIRECTOR
Phone: (562) 202-5741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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