| |
20300 Valley Blvd Suite A Tehachapi CA 93561-8609 | |
(661) 822-1134 | |
(661) 822-1615 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 20300 Valley Blvd, Tehachapi, California |
Authorized Official Name and Position | William J Cox (PRESIDENT) |
Authorized Official Contact | 8006846440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1101 Se Tech Center Drive Ste 195 Vancouver WA 98683-5511 Ph: (360) 869-7645 | 20300 Valley Blvd Suite A Tehachapi CA 93561-8609 Ph: (661) 822-1134 |
NPI Number | 1518171537 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 12/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518171537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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