| H Street Dentistry | |
|
2007 17th St Bakersfield CA 93301-4203 | |
| (661) 631-1113 | |
| (661) 631-1116 |
| Full Name | H Street Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2007 17th St, Bakersfield, California |
| Authorized Official Name and Position | Clarence Kwok-liang Au (OWNER) |
| Authorized Official Contact | 6616311113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H Street Dentistry 2007 17th St Bakersfield CA 93301-4203 Ph: (661) 631-1113 | H Street Dentistry 2007 17th St Bakersfield CA 93301-4203 Ph: (661) 631-1113 |
| NPI Number | 1609023779 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609023779 | NPI | - | NPPES |
| 34463 | Other | CA | CALIFORNIA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34463 (California) | Primary |
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