| Barstow Family Dental | |
|
1940 E Main St Barstow CA 92311-3218 | |
| (760) 256-1083 | |
| (760) 256-0079 |
| Full Name | Barstow Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1940 E Main St, Barstow, California |
| Authorized Official Name and Position | Gregory Eric Olafsen (D.D.S.) |
| Authorized Official Contact | 7602561083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barstow Family Dental 1940 E Main St Barstow CA 92311-3218 Ph: (760) 256-1083 | Barstow Family Dental 1940 E Main St Barstow CA 92311-3218 Ph: (760) 256-1083 |
| NPI Number | 1093947814 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 08/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093947814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41202 (California) | Primary |
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