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1403 Allen Rd Ste 1000 Bakersfield CA 93314 | |
(661) 368-0919 | |
(661) 368-0919 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1403 Allen Rd Ste 1000, Bakersfield, California |
Authorized Official Name and Position | Samir K Shah (OWNER) |
Authorized Official Contact | 6613680919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | 1403 Allen Rd Ste 1000 Bakersfield CA 93314 Ph: (661) 368-0919 |
NPI Number | 1942787403 |
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Provider Enumeration Date | 07/26/2018 |
Last Update Date | 09/07/2018 |
Identifier | Type | State | Issuer |
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1942787403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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