| Alvin Sitompul D.d.s, Inc. | |
|
3820 Wible Rd Ste B Bakersfield CA 93309-6714 | |
| (805) 217-8993 | |
| Not Available |
| Full Name | Alvin Sitompul D.d.s, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3820 Wible Rd Ste B, Bakersfield, California |
| Authorized Official Name and Position | Alvin Sitompul (PRESIDENT) |
| Authorized Official Contact | 8053907042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alvin Sitompul D.d.s, Inc. 11294 Tiger Lily St Ventura CA 93004-3350 Ph: (805) 390-7042 | Alvin Sitompul D.d.s, Inc. 3820 Wible Rd Ste B Bakersfield CA 93309-6714 Ph: (805) 217-8993 |
| NPI Number | 1124724174 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124724174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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