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1625 S H St Bakersfield CA 93304-4931 | |
| (661) 398-1744 | |
| (661) 398-8017 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1625 S H St, Bakersfield, California |
| Authorized Official Name and Position | Rodrigo Ayala (OWNER DENTIST) |
| Authorized Official Contact | 6613981744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1625 S H St Bakersfield CA 93304-4931 Ph: (661) 398-1744 | 1625 S H St Bakersfield CA 93304-4931 Ph: (661) 398-1744 |
| NPI Number | 1184824567 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184824567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50726 (California) | Primary |
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