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4829 Panama Ln Unit C Bakersfield CA 93313-3482 | |
(661) 999-1501 | |
(661) 412-4495 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 4829 Panama Ln Unit C, Bakersfield, California |
Authorized Official Name and Position | Allen Mossaei (DENTIST/OWNER) |
Authorized Official Contact | 6619991501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4829 Panama Ln Unit C Bakersfield CA 93313-3482 Ph: (661) 999-1501 | 4829 Panama Ln Unit C Bakersfield CA 93313-3482 Ph: (661) 999-1501 |
NPI Number | 1376042853 |
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Provider Enumeration Date | 02/09/2018 |
Last Update Date | 02/09/2018 |
Identifier | Type | State | Issuer |
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1376042853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 59083 (California) | Primary |
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