Andrea Marie Pezoldt, DDS | |
200 C St, Patterson, CA 95363-2701 | |
(209) 892-6307 | |
(209) 892-2633 |
Full Name | Andrea Marie Pezoldt |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 200 C St, Patterson, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447339353 | NPI | - | NPPES |
43072 | Other | CA | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 43072 (California) | Primary |
Entity Name | Golden Valley Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
Mailing Address | Practice Location Address |
---|---|
Andrea Marie Pezoldt, DDS 737 West Childs Avenue, Merced, CA 95340-6805 Ph: (209) 383-1848 | Andrea Marie Pezoldt, DDS 200 C St, Patterson, CA 95363-2701 Ph: (209) 892-6307 |
Dr. Harpreet Brar, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1045 Sperry Ave, Ste - C, Patterson, CA 95363 Phone: 209-895-5551 Fax: 209-895-5554 | |
Vinay Kumar Madavan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ward Ave Ste 10b, Patterson, CA 95363 Phone: 209-895-5440 | |
Dr. Abhishek Jahagirdar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ward Ave Ste 10b, Patterson, CA 95363 Phone: 209-895-5440 | |
Dr. Jaskiran K Grewal, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ward Ave, Suite #10, Patterson, CA 95363 Phone: 209-895-5440 Fax: 209-895-5441 | |
Dr. Miguel Ibarra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 C St, Patterson, CA 95363 Phone: 209-892-6307 Fax: 209-892-2633 | |
Dr. Mark Timothy Ory, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 C St, Patterson, CA 95363 Phone: 209-892-6307 Fax: 209-892-2633 |