Individual
DEANNE NATIVIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
601 HIGH ST, DELANO, CA 93215-2968
(661) 725-9999
Mailing address
3232 RIO MIRADA DR, BAKERSFIELD, CA 93308-4950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107280
CA
122300000X
Dentist
2018023890
MO
Other
Enumeration date
08/22/2018
Last updated
08/22/2022
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