Brewster,brewster,frederick, Dds, Ins. | |
937 E Palmdale Blvd Palmdale CA 93550-4711 | |
(661) 947-7737 | |
(661) 947-0522 |
Full Name | Brewster,brewster,frederick, Dds, Ins. |
---|---|
Speciality | Dentist |
Location | 937 E Palmdale Blvd, Palmdale, California |
Authorized Official Name and Position | Richard Frederick (VICE PRESIDENT) |
Authorized Official Contact | 6619477737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brewster,brewster,frederick, Dds, Ins. 937 E Palmdale Blvd Palmdale CA 93550-4711 Ph: (661) 947-7737 | Brewster,brewster,frederick, Dds, Ins. 937 E Palmdale Blvd Palmdale CA 93550-4711 Ph: (661) 947-7737 |
NPI Number | 1356534374 |
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Provider Enumeration Date | 08/22/2007 |
Last Update Date | 08/22/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356534374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 35494 (California) | Primary |
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