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NPI Code Detail

MEDICARE: DR. JOSEPH THOMAS DUROSS DDS

MEDICARE:  DR. JOSEPH THOMAS DUROSS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry23176CA

General Provider Information

NPI Number : 1851496244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH THOMAS DUROSS DDS
Provider Business Mailing Address
First Line : 3903 VIRGINIA RD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807
Country : US
Telephone Number : 562-424-8537
Fax Number : 562-427-2494
Provider Business Practice Location Address
First Line : 3903 VIRGINIA RD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807
Country : US
Telephone Number : 562-424-8537
Fax Number : 562-427-2494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOSEPH THOMAS DUROSS DDS” Practice Location

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