| Main Street Dental | |
|
1314 S 6th St Los Banos CA 93635-4729 | |
| (209) 827-9226 | |
| (209) 827-7679 |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist |
| Location | 1314 S 6th St, Los Banos, California |
| Authorized Official Name and Position | Andrew A Smith (OWNER) |
| Authorized Official Contact | 2098279226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental 1314 S 6th St Los Banos CA 93635-4729 Ph: (209) 827-9226 | Main Street Dental 1314 S 6th St Los Banos CA 93635-4729 Ph: (209) 827-9226 |
| NPI Number | 1790811669 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790811669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | C42233 (California) | Primary |
| 122300000X | Dentist | C43678 (California) | Secondary |
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Ronald A. Carter D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W I St, Los Banos, CA 93635 Phone: 209-826-5732 Fax: 209-826-2469 | |
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Momani Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W I St., Ste B, Los Banos, CA 93635 Phone: 209-675-7005 | |
Golden Valley Health Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 W I St, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-384-3966 | |
Benjamin J. Seaton Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 Second St., Los Banos, CA 93635 Phone: 209-826-8100 |