| Dental Depot | |
|
4022 Niles St Bakersfield CA 93306-4630 | |
| (661) 871-3736 | |
| (661) 871-7417 |
| Full Name | Dental Depot |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4022 Niles St, Bakersfield, California |
| Authorized Official Name and Position | Myrna Velasquez (OFFICE MANAGER) |
| Authorized Official Contact | 6618713736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot 4022 Niles St Bakersfield CA 93306-4630 Ph: (661) 871-3736 | Dental Depot 4022 Niles St Bakersfield CA 93306-4630 Ph: (661) 871-3736 |
| NPI Number | 1205169729 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205169729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 33020 (California) | Primary |
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