| |
1415 Brundage Ln Bakersfield CA 93304-3114 | |
(661) 323-0076 | |
(661) 323-0277 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1415 Brundage Ln, Bakersfield, California |
Authorized Official Name and Position | Ma Lourdes Andres-javier (GENERAL DENTIST) |
Authorized Official Contact | 8182479905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1415 Brundage Ln Bakersfield CA 93304-3114 Ph: (661) 323-0076 | 1415 Brundage Ln Bakersfield CA 93304-3114 Ph: (661) 323-0076 |
NPI Number | 1063560381 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063560381 | NPI | - | NPPES |
B3901601 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 39016 (California) | Primary |
Lien Kim Quach Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Brundage Ln, Bakersfield, CA 93304 Phone: 661-323-0076 Fax: 661-323-0277 | |
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