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UNKNOWN ABHISHEK
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1063984656
Individual Registrant: UNKNOWN ABHISHEK
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
11120 STOCKDALE HWY STE 103 BAKERSFIELD, CA 93311-3680 US
Tel: 661-665-0080 Fax: --
Tel: 661-665-0080 Fax: --
Contact information for business:
11120 STOCKDALE HWY STE 103 BAKERSFIELD, CA 93311-3680 US
Tel: 661-665-0080 Fax: --
Tel: 661-665-0080 Fax: --
Registration Information:
NPI: 1063984656
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | DDS103389 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
