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2140 E Palmdale Blvd Suite A Palmdale CA 93550-1202 | |
(661) 265-1700 | |
(661) 265-1709 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2140 E Palmdale Blvd, Palmdale, California |
Authorized Official Name and Position | Cherag D Sarkari (PRESIDENT) |
Authorized Official Contact | 9165636011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8890 Cal Center Dr Sacramento CA 95826-3200 Ph: (916) 922-5000 | 2140 E Palmdale Blvd Suite A Palmdale CA 93550-1202 Ph: (661) 265-1700 |
NPI Number | 1457723041 |
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Provider Enumeration Date | 10/22/2015 |
Last Update Date | 10/04/2016 |
Identifier | Type | State | Issuer |
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1457723041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 50983 (California) | Primary |