Provider Demographics
NPI:1922612449
Name:DOSSMCDANIEL, CURTIS EUGENE III (REGISTERED DENTAL AS)
Entity Type:Individual
Prefix:PROF
First Name:CURTIS
Middle Name:EUGENE
Last Name:DOSSMCDANIEL
Suffix:III
Gender:M
Credentials:REGISTERED DENTAL AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 W FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-3617
Mailing Address - Country:US
Mailing Address - Phone:951-330-4618
Mailing Address - Fax:
Practice Address - Street 1:3027 W FLORDIA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545
Practice Address - Country:US
Practice Address - Phone:951-330-4618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA94098126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant