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2217 Niles Pt Bakersfield CA 93306-4023 | |
| (661) 863-0609 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2217 Niles Pt, Bakersfield, California |
| Authorized Official Name and Position | Jason Khoa Nguyen (OWNER/DENTIST) |
| Authorized Official Contact | 6618630609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2217 Niles Pt Bakersfield CA 93306-4023 Ph: (661) 863-0609 | 2217 Niles Pt Bakersfield CA 93306-4023 Ph: (661) 863-0609 |
| NPI Number | 1528499662 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 11/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528499662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53634 (California) | Primary |
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