Main Dental Center | |
1038 W Main St Santa Maria CA 93458-4238 | |
(805) 925-9091 | |
(805) 925-9022 |
Full Name | Main Dental Center |
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Speciality | Dentist |
Location | 1038 W Main St, Santa Maria, California |
Authorized Official Name and Position | Abdallah Al-harazneh (CEO) |
Authorized Official Contact | 8059259091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Dental Center 1038 W Main St Santa Maria CA 93458-4238 Ph: (805) 925-9091 | Main Dental Center 1038 W Main St Santa Maria CA 93458-4238 Ph: (805) 925-9091 |
NPI Number | 1962941716 |
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Provider Enumeration Date | 02/13/2017 |
Last Update Date | 02/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962941716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 46725 (California) | Primary |
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