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4100 Empire Drive Suite 110 Bakersfield CA 93309 | |
| (661) 246-4322 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4100 Empire Drive, Bakersfield, California |
| Authorized Official Name and Position | Myrna Ramos Altavas (PRESIDENT) |
| Authorized Official Contact | 6613435018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10304 Skiles Drive Bakersfield CA 93311 Ph: (661) 343-5018 | 4100 Empire Drive Suite 110 Bakersfield CA 93309 Ph: (661) 246-4322 |
| NPI Number | 1518295724 |
|---|---|
| Provider Enumeration Date | 11/28/2009 |
| Last Update Date | 06/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518295724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57548 (California) | Primary |
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