| Ralph B Waugh DDS MD | |
|
43713 20th St W #1 Lancaster CA 93534 | |
| (661) 948-5061 | |
| (661) 723-7390 |
| Full Name | Ralph B Waugh DDS MD |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 43713 20th St W, Lancaster, California |
| Authorized Official Name and Position | Ralph Beverly Waugh (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 6619485061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph B Waugh DDS MD 43713 20th St W Suite #1 Lancaster CA 93534 Ph: (661) 948-5061 | Ralph B Waugh DDS MD 43713 20th St W #1 Lancaster CA 93534 Ph: (661) 948-5061 |
| NPI Number | 1386843886 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386843886 | NPI | - | NPPES |
| 00A225240 | Medicaid | CA | |
| 14900 | Other | CA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (NU) | Primary |
| 208600000X | Surgery | (NU) | Secondary |
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