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Organization
ROBERT BANG, D.D.S., INC.
Active
Organization
ROBERT BANG, D.D.S., INC.
Active
Parent organization
ROBERT BANG, D.D.S., INC.
Other names
Children's Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT BANG, D.D.S., INC.
Authorized official
DR. ROBERT BANG D.D.S. (OWNER)
(760) 446-8688
Entity
Organization
Contact information
Practice address
911 W. PERDEW AVE., RIDGECREST, CA 93555-3105
(760) 446-8688
(760) 446-8691
Mailing address
911 W. PERDEW AVE., RIDGECREST, CA 93555-3105
(760) 446-8688
(760) 446-8691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1524471
UNITED CONCORDIA
CA
01
—
B43114
HEALTHY FAMILIES
CA
01
—
G92759
MEDI-CAL PROVIDER #
CA
Enumeration date
12/07/2006
Last updated
01/06/2022
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