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General NPI Number Information
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NPI Number | 1740609890
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Entity Type | Organization
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Legal Business Name | TODD A LOFTIN DDS A DENTAL CORPORATION, INC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 1440 WASHINGTON BLVD SUITE B3
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City | CONCORD
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State | CA
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Zip | 94521-4098
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Country | US
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Telephone | 925-672-7997
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Fax | 925-672-5376
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Provider Business Mailing Address
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Address Line | 1440 WASHINGTON BLVD SUITE B3
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City | CONCORD
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State | CA
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Zip | 94521-4098
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Country | US
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Telephone | 925-672-7997
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Fax | 925-672-5376
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD ALAN LOFTIN
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Credential | DDA
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Telephone | 925-672-7997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 51495
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License Number State | CA
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