Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 4771 | LA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 56348 | CA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | A95720 | CA |
NPI | 1346430279 |
---|---|
Provider Name | Dr. David Bell |
First Address | Anaheim, CA 92806-2020 |
Second Address | Anaheim, CA 92806-2020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 18/12/2009 |