Provider Demographics
NPI:1235724543
Name:D.T.D MEDLINK GROUP INC
Entity Type:Organization
Organization Name:D.T.D MEDLINK GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:614-648-4680
Mailing Address - Street 1:12826 VICTORY BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3066
Mailing Address - Country:US
Mailing Address - Phone:818-583-0050
Mailing Address - Fax:
Practice Address - Street 1:12826 VICTORY BLVD STE D
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3066
Practice Address - Country:US
Practice Address - Phone:818-583-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty