| Mdg-kitto Dental Pc | |
|
937 E Main St Ste 105 Santa Maria CA 93454-5309 | |
| (805) 922-4109 | |
| Not Available |
| Full Name | Mdg-kitto Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 937 E Main St Ste 105, Santa Maria, California |
| Authorized Official Name and Position | James Cole Mcwhorter (CEO) |
| Authorized Official Contact | 8015924360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdg-kitto Dental Pc 937 E Main St Ste 105 Santa Maria CA 93454-5309 Ph: (805) 922-4109 | Mdg-kitto Dental Pc 937 E Main St Ste 105 Santa Maria CA 93454-5309 Ph: (805) 922-4109 |
| NPI Number | 1063220101 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063220101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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