| Sierra Dental Group | |
|
20370 W Valley Blvd Tehachapi CA 93561-8615 | |
| (661) 822-3727 | |
| Not Available |
| Full Name | Sierra Dental Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 20370 W Valley Blvd, Tehachapi, California |
| Authorized Official Name and Position | Jose David Sanchez (PRESIDENT) |
| Authorized Official Contact | 7144859999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Dental Group 20370 W Valley Blvd Tehachapi CA 93561-8615 Ph: () - | Sierra Dental Group 20370 W Valley Blvd Tehachapi CA 93561-8615 Ph: (661) 822-3727 |
| NPI Number | 1922767557 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 09/19/2022 |
| Medicare PECOS PAC ID | 5294111548 |
|---|---|
| Medicare Enrollment ID | O20221010003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922767557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Jose D Sanchez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336206788 PECOS PAC ID: 0042364507 Enrollment ID: I20090818000393 |
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