| Mt Vernon Dentistry | |
|
2302 Columbus St Bakersfield CA 93306 | |
| (661) 873-1111 | |
| (661) 760-7946 |
| Full Name | Mt Vernon Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2302 Columbus St, Bakersfield, California |
| Authorized Official Name and Position | Nguyen Dinh Pham (CEO) |
| Authorized Official Contact | 6618731111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Vernon Dentistry 2302 Columbus St Bakersfield CA 93306 Ph: (661) 873-1111 | Mt Vernon Dentistry 2302 Columbus St Bakersfield CA 93306 Ph: (661) 873-1111 |
| NPI Number | 1497992929 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 01/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497992929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47776 (California) | Primary |
| 122300000X | Dentist | 47287 (California) | Secondary |
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