| Dentist On Wheels Ca | |
|
500 S Broadway Suite 246 Santa Maria CA 93454-5148 | |
| (855) 369-8585 | |
| Not Available |
| Full Name | Dentist On Wheels Ca |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 S Broadway, Santa Maria, California |
| Authorized Official Name and Position | Maite Vargas (CEO) |
| Authorized Official Contact | 7865549845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist On Wheels Ca 500 S Broadway Suite 246 Santa Maria CA 93454-5148 Ph: (855) 369-8585 | Dentist On Wheels Ca 500 S Broadway Suite 246 Santa Maria CA 93454-5148 Ph: (855) 369-8585 |
| NPI Number | 1750716452 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 09/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750716452 | NPI | - | NPPES |
| 54219 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54219 (California) | Primary |
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