| |
3612 Coffee Rd A Bakersfield CA 93308-5083 | |
(661) 587-7645 | |
(661) 587-7656 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 3612 Coffee Rd, Bakersfield, California |
Authorized Official Name and Position | Edward H Gruber (OWNER, SOLE PROPRIETOR) |
Authorized Official Contact | 6615877645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3612 Coffee Rd A Bakersfield CA 93308-5083 Ph: (661) 587-7645 | 3612 Coffee Rd A Bakersfield CA 93308-5083 Ph: (661) 587-7645 |
NPI Number | 1104065416 |
---|---|
Provider Enumeration Date | 02/10/2009 |
Last Update Date | 12/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104065416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Lien Kim Quach Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Brundage Ln, Bakersfield, CA 93304 Phone: 661-323-0076 Fax: 661-323-0277 | |
H. Azad Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3761 Mall View Rd, Bakersfield, CA 93306 Phone: 805-242-4044 | |
C. Jerry Chen, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6409 Ming Ave, Bakersfield, CA 93309 Phone: 661-834-4100 | |
Arthur G Kaiser Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Brundage Lane, Bakersfield, CA 93304 Phone: 661-324-1725 Fax: 661-864-1309 | |