| Jared R. Gianquinto, Dmd, Ms, Inc A Professional Corporation | |
|
1400 Calloway Dr Suite 206 Bakersfield CA 93312-2826 | |
| (661) 215-4995 | |
| (888) 527-3506 |
| Full Name | Jared R. Gianquinto, Dmd, Ms, Inc A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1400 Calloway Dr, Bakersfield, California |
| Authorized Official Name and Position | Jared Robert Gianquinto (OWNER) |
| Authorized Official Contact | 6612154995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared R. Gianquinto, Dmd, Ms, Inc A Professional Corporation 1400 Calloway Dr Suite 206 Bakersfield CA 93312-2826 Ph: (661) 215-4995 | Jared R. Gianquinto, Dmd, Ms, Inc A Professional Corporation 1400 Calloway Dr Suite 206 Bakersfield CA 93312-2826 Ph: (661) 215-4995 |
| NPI Number | 1700145273 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700145273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 54756 (California) | Primary |
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