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201 China Grade Loop Bakersfield CA 93308-1707 | |
| (661) 393-4333 | |
| (661) 393-4343 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 China Grade Loop, Bakersfield, California |
| Authorized Official Name and Position | Wasfi Fouad Salama (PRESIDENT) |
| Authorized Official Contact | 6613666527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
201 China Grade Loop Bakersfield CA 93308-1707 Ph: (661) 393-4333 | 201 China Grade Loop Bakersfield CA 93308-1707 Ph: (661) 393-4333 |
| NPI Number | 1124354279 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124354279 | NPI | - | NPPES |
| G94115-02 | Medicaid | CA |
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