| |
1010 Calloway Dr #200a Bakersfield CA 93312-6391 | |
(661) 665-7600 | |
(661) 665-7648 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1010 Calloway Dr, Bakersfield, California |
Authorized Official Name and Position | Donald R Montano (ORTHODONTIST/PRESIDENT) |
Authorized Official Contact | 6614280502 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1010 Calloway Dr #200a Bakersfield CA 93312-6391 Ph: (661) 665-7600 | 1010 Calloway Dr #200a Bakersfield CA 93312-6391 Ph: (661) 665-7600 |
NPI Number | 1619347804 |
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Provider Enumeration Date | 09/30/2015 |
Last Update Date | 09/30/2015 |
Identifier | Type | State | Issuer |
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1619347804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DY033498 (California) | Primary |
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