| Sagarian A Profesional Dental Corporation | |
|
505 W Columbus St Bakersfield CA 93301-1263 | |
| (661) 322-1300 | |
| (661) 322-1375 |
| Full Name | Sagarian A Profesional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 505 W Columbus St, Bakersfield, California |
| Authorized Official Name and Position | Mike Mais Sagarian (PRESIDENT) |
| Authorized Official Contact | 6614961200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagarian A Profesional Dental Corporation 505 W Columbus St Bakersfield CA 93301-1263 Ph: (661) 322-1300 | Sagarian A Profesional Dental Corporation 505 W Columbus St Bakersfield CA 93301-1263 Ph: (661) 322-1300 |
| NPI Number | 1558484428 |
|---|---|
| Provider Enumeration Date | 04/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558484428 | NPI | - | NPPES |
| G91682 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43655 (California) | Primary |
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