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3015 Calloway Dr Unit 14 Bakersfield CA 93312-2659 | |
| (661) 587-6453 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3015 Calloway Dr Unit 14, Bakersfield, California |
| Authorized Official Name and Position | Kelcie Dee Thompson (BILLING/INSURANCE MANAGER) |
| Authorized Official Contact | 9289256522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3015 Calloway Dr Unit 14 Bakersfield CA 93312-2659 Ph: (661) 587-6453 | 3015 Calloway Dr Unit 14 Bakersfield CA 93312-2659 Ph: (661) 587-6453 |
| NPI Number | 1922457746 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922457746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6359 (California) | Primary |
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