| West Delano Dental Center | |
|
441 Diaz Ave Delano CA 93215-4121 | |
| (661) 725-3882 | |
| Not Available |
| Full Name | West Delano Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 441 Diaz Ave, Delano, California |
| Authorized Official Name and Position | Olga Meave (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6616353050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Delano Dental Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | West Delano Dental Center 441 Diaz Ave Delano CA 93215-4121 Ph: (661) 725-3882 |
| NPI Number | 1134318959 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134318959 | NPI | - | NPPES |
| CMM71181F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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