| Mk Raymond Dental Corporation Pc | |
|
3130 Union Ave Bakersfield CA 93305-3443 | |
| (661) 872-2170 | |
| (818) 773-0911 |
| Full Name | Mk Raymond Dental Corporation Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3130 Union Ave, Bakersfield, California |
| Authorized Official Name and Position | M. Kyle Raymond (D.D.S./OWNER) |
| Authorized Official Contact | 6618722170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mk Raymond Dental Corporation Pc 3130 Union Ave Bakersfield CA 93305-3443 Ph: (661) 872-2170 | Mk Raymond Dental Corporation Pc 3130 Union Ave Bakersfield CA 93305-3443 Ph: (661) 872-2170 |
| NPI Number | 1861095226 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861095226 | NPI | - | NPPES |
| 105526 | Other | CA | CA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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