| R & M Dental Management Co | |
| 
					42169-c Big Bear Blvd. Big Bear Lake CA 92315  | |
| (909) 866-1030 | |
| (909) 866-9990 | 
| Full Name | R & M Dental Management Co | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 42169-c Big Bear Blvd., Big Bear Lake, California | 
| Authorized Official Name and Position | Farhad Mazi (DENTIST) | 
| Authorized Official Contact | 9098661030 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| R & M Dental Management Co Po Box 7069 Big Bear Lake CA 92315-7069 Ph: (909) 866-1030  | R & M Dental Management Co 42169-c Big Bear Blvd. Big Bear Lake CA 92315 Ph: (909) 866-1030  | 
| NPI Number | 1922132109 | 
|---|---|
| Provider Enumeration Date | 03/16/2007 | 
| Last Update Date | 06/27/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922132109 | NPI | - | NPPES | 
| G92354-02 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48832 (California) | Primary | 
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