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44444 16th St W Ste 101 Lancaster CA 93534-2840 | |
| (661) 948-0408 | |
| (661) 948-3991 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44444 16th St W Ste 101, Lancaster, California |
| Authorized Official Name and Position | Francisco D. Fores (CEO) |
| Authorized Official Contact | 6619480408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
44444 16th St W Ste 101 Lancaster CA 93534-2840 Ph: (661) 948-0408 | 44444 16th St W Ste 101 Lancaster CA 93534-2840 Ph: (661) 948-0408 |
| NPI Number | 1174673784 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174673784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26057 (California) | Primary |
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