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UNKNOWN ABHISHEK

>> Dentist >> Dental Providers

Registrant NPI Number: 1063984656

Individual Registrant:
 UNKNOWN  ABHISHEK 
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: --

Contact information for business:
11120 STOCKDALE HWY STE 103  BAKERSFIELD, CA 93311-3680 US
Tel: 661-665-0080  Fax: --

Registration Information:
NPI: 1063984656
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CADDS103389

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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