Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 29194 | CA |
NPI | 1154570737 |
---|---|
Provider Name | Mr. David Duane Adamic |
First Address | Hemet, CA 92543-4414 |
Second Address | Hemet, CA 92543-4414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 18/09/2008 |