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Organization
GERALDINE TANADA-LEE DENTAL CORP.
Active
Organization
GERALDINE TANADA-LEE DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE TANADA (OWNER)
(661) 456-9704
Entity
Organization
Contact information
Practice address
3409 CALLOWAY DR, SUITE 501-B, BAKERSFIELD, CA 93312-2517
(661) 456-9704
Mailing address
3409 CALLOWAY DR, SUITE 501-B, BAKERSFIELD, CA 93312-2517
(661) 456-9704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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