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Organization
GOUDA DENTAL CORPORATION
Active
Organization
GOUDA DENTAL CORPORATION
Active
Parent organization
GOUDA DENTAL CORPORATION
Other names
Gouda's Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOUDA DENTAL CORPORATION
Authorized official
MS. ANABERTA CHAMPION (OFFICE MANAGER)
(559) 782-9297
Entity
Organization
Contact information
Practice address
5452 CALIFORNIA AVE, BAKERSFIELD, CA 93309-1618
(661) 322-2300
(661) 322-2350
Mailing address
5452 CALIFORNIA AVE, BAKERSFIELD, CA 93309-1618
(661) 322-2300
(661) 322-2350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48456
CA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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