| Old Town Dental | |
|
20406 Brian Way # 2 Tehachapi CA 93561-8781 | |
| (661) 822-6706 | |
| Not Available |
| Full Name | Old Town Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20406 Brian Way # 2, Tehachapi, California |
| Authorized Official Name and Position | Michael Jones (OWNER/DENTIST) |
| Authorized Official Contact | 6618226706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Dental 20406 Brian Way # 2 Tehachapi CA 93561-8781 Ph: () - | Old Town Dental 20406 Brian Way # 2 Tehachapi CA 93561-8781 Ph: (661) 822-6706 |
| NPI Number | 1184257008 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184257008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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