institution
Ivan Medina-martinez Dds, Inc.
Dental Clinic/Center in Bakersfield, California
NPI 1467945212

Ivan Medina-martinez Dds, Inc. is a Dental Clinic/Center based in Bakersfield, CA and is specialized in Dental. Ivan Medina-martinez Dds, Inc. practices in Bakersfield, CA. The NPI Number for Ivan Medina-martinez Dds, Inc. is 1467945212 and holds a License No. 102012 (California).

The current practice location address for Ivan Medina-martinez Dds, Inc. is 2122 Brundage Ln, Bakersfield, CA and can be reached out via phone at 661-437-6877 and via fax at 661-349-9980.

Location: 2122 Brundage Ln, Bakersfield, CA, 93309-5208
institution
Provider Profile Details
NPI Number
1467945212
Provider Name
Ivan Medina-martinez Dds, Inc.
Credential
Provider Entity Type
Organization
Address
2122 Brundage Ln, Bakersfield, CA, 93309-5208
Phone Number
661-437-6877
Fax Number
661-349-9980
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102012 01 CA CALIFORNIA DENTAL BOARD
1114436854 01 CA NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
2122 Brundage Ln
City
State
Zip
93304-2702
Phone Number
661-437-6877
Fax Number
661-349-9980
person
Provider Business Mailing Address Details
Address
2122 Brundage Ln
City
State
Zip
93304-2702
Phone Number
661-437-6877
Fax Number
661-349-9980
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
102012 (California)
Definition
Definition to come...
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