Provider Demographics
NPI:1902345812
Name:LANDMARKS DELANO FAMILY DENTISTRY
Entity Type:Organization
Organization Name:LANDMARKS DELANO FAMILY DENTISTRY
Other - Org Name:DELANO FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:POSTGATE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-330-0703
Mailing Address - Street 1:2232 GIRARD ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-3808
Mailing Address - Country:US
Mailing Address - Phone:661-721-1670
Mailing Address - Fax:661-721-2456
Practice Address - Street 1:2232 GIRARD ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3808
Practice Address - Country:US
Practice Address - Phone:661-721-1670
Practice Address - Fax:661-721-2456
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELANO FAMILY DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33650261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental