NPI 1356724587 · live from the CMS NPI Registry
A Dental Group Of William E. Vickerman DDS
Dentist in Cerritos, CA. National Provider Identifier 1356724587, active.
NPI record
| NPI | 1356724587 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 18000 Studebaker Rd Ste 365, Cerritos, CA 90703 |
| Practice phone | 562-202-5741 |
| Enumerated | July 7, 2015 |
| Last updated | July 7, 2015 |
| Authorized official | Benson Dimaranan, Administrative Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 27704 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.