| Custom Dental | |
|
3409 Calloway Dr Unit 402 Bakersfield CA 93312-2517 | |
| (661) 387-6577 | |
| Not Available |
| Full Name | Custom Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3409 Calloway Dr Unit 402, Bakersfield, California |
| Authorized Official Name and Position | Benjamin J. Lin (OWNER/DENTIST) |
| Authorized Official Contact | 6613876577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Dental 3409 Calloway Dr Unit 402 Bakersfield CA 93312-2517 Ph: (661) 387-6577 | Custom Dental 3409 Calloway Dr Unit 402 Bakersfield CA 93312-2517 Ph: (661) 387-6577 |
| NPI Number | 1942498746 |
|---|---|
| Provider Enumeration Date | 10/07/2007 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942498746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54173 (California) | Primary |
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