| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 6405 Ming Ave, Bakersfield, California |
| Authorized Official Name and Position | Warren Barr (PRESIDENT) |
| Authorized Official Contact | 6618349900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 11383 Bakersfield CA 93389-1383 Ph: (661) 834-9900 | 6405 Ming Ave Bakersfield CA 93309 Ph: (661) 834-9900 |
| NPI Number | 1790738219 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790738219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 32021 (California) | Primary |
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