| Big Bear Dental Center | |
|
42169-c Big Bear Blvd. Big Bear Lake CA 92315 | |
| (909) 866-1030 | |
| (909) 866-9990 |
| Full Name | Big Bear Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 42169-c Big Bear Blvd., Big Bear Lake, California |
| Authorized Official Name and Position | Farhad Mazi (DENTIST) |
| Authorized Official Contact | 9098661030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Bear Dental Center Po Box 7069 Big Bear Lake CA 92315-7069 Ph: (909) 866-1030 | Big Bear Dental Center 42169-c Big Bear Blvd. Big Bear Lake CA 92315 Ph: (909) 866-1030 |
| NPI Number | 1922132109 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922132109 | NPI | - | NPPES |
| G92354-02 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48832 (California) | Primary |
Bear Valley Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41628 Big Bear Blvd, Big Bear Lake, CA 92315 Phone: 909-866-2646 Fax: 909-866-1796 | |
Lakeside Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42002 Fox Farm Road #101, Big Bear Lake, CA 92315 Phone: 909-866-0606 Fax: 909-866-5546 | |
James Kim Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42002 Fox Farm Rd., #101, Big Bear Lake, CA 92315 Phone: 909-866-0606 Fax: 909-866-5546 |