| Northwest Dental Care | |
|
2531 Howard Rd Suite 103 Madera CA 93637-5040 | |
| (559) 674-0927 | |
| (559) 674-0595 |
| Full Name | Northwest Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2531 Howard Rd, Madera, California |
| Authorized Official Name and Position | Rosalinda Miranda Mauricio (PRESIDENT) |
| Authorized Official Contact | 5596740927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dental Care 2531 Howard Rd Suite 103 Madera CA 93637-5040 Ph: (559) 674-0927 | Northwest Dental Care 2531 Howard Rd Suite 103 Madera CA 93637-5040 Ph: (559) 674-0927 |
| NPI Number | 1922371509 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922371509 | NPI | - | NPPES |
| G9310001 | Other | CA | DENTICAL |
| 1922371509 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46112 (California) | Primary |
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