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1830 28th St Bakersfield CA 93301-1904 | |
| (661) 326-8536 | |
| (661) 326-8511 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1830 28th St, Bakersfield, California |
| Authorized Official Name and Position | Mosheer Alkhalayleh (VICE-PRESIDENT) |
| Authorized Official Contact | 6613934333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1830 28th St Bakersfield CA 93301-1904 Ph: (661) 326-8536 | 1830 28th St Bakersfield CA 93301-1904 Ph: (661) 326-8536 |
| NPI Number | 1295061349 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295061349 | NPI | - | NPPES |
| G94115-03 | Medicaid | CA |
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