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5917 Niles St Suite 3 Bakersfield CA 93306-4695 | |
| (661) 366-6527 | |
| (661) 366-5400 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 5917 Niles St, Bakersfield, California |
| Authorized Official Name and Position | Wasfi Fouad Salama (PRESIDENT) |
| Authorized Official Contact | 6613666527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5917 Niles St Suite 3 Bakersfield CA 93306-4695 Ph: (661) 366-6527 | 5917 Niles St Suite 3 Bakersfield CA 93306-4695 Ph: (661) 366-6527 |
| NPI Number | 1053440115 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053440115 | NPI | - | NPPES |
| G94115-01 | Medicaid | CA |
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