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Organization
H STREET DENTISTRY
Active
Organization
H STREET DENTISTRY
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE KWOK-LIANG AU D.D.S. (OWNER)
(661) 631-1113
Entity
Organization
Contact information
Practice address
2007 17TH ST, BAKERSFIELD, CA 93301-4203
(661) 631-1113
(661) 631-1116
Mailing address
2007 17TH ST, BAKERSFIELD, CA 93301-4203
(661) 631-1113
(661) 631-1116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34463
CALIFORNIA STATE LICENSE
CA
Enumeration date
08/20/2008
Last updated
08/20/2008
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