| Gouda Dental Corporation | |
|
5452 California Ave Bakersfield CA 93309-1618 | |
| (661) 322-2300 | |
| (661) 322-2350 |
| Full Name | Gouda Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5452 California Ave, Bakersfield, California |
| Authorized Official Name and Position | Anaberta Champion (OFFICE MANAGER) |
| Authorized Official Contact | 5597829297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gouda Dental Corporation 5452 California Ave Bakersfield CA 93309-1618 Ph: (661) 322-2300 | Gouda Dental Corporation 5452 California Ave Bakersfield CA 93309-1618 Ph: (661) 322-2300 |
| NPI Number | 1154874162 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154874162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48456 (California) | Primary |
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