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4921 Calloway Dr Ste G-102 Bakersfield CA 93312-9716 | |
| (661) 369-8989 | |
| (661) 369-8988 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4921 Calloway Dr, Bakersfield, California |
| Authorized Official Name and Position | Mary Janet C Roldan (PRESIDENT) |
| Authorized Official Contact | 6613698989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4921 Calloway Dr Ste G-102 Bakersfield CA 93312-9716 Ph: (661) 369-8989 | 4921 Calloway Dr Ste G-102 Bakersfield CA 93312-9716 Ph: (661) 369-8989 |
| NPI Number | 1902157944 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902157944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50897 (California) | Primary |
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