Organization
DANIEL C. PURDY, D.M.D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY BOZEMAN (OFFICE MANAGER)
(661) 832-5530
Entity
Organization
Contact information
Practice address
5397 TRUXTUN AVE, BAKERSFIELD, CA 93309-0641
(661) 832-5530
(661) 832-0137
Mailing address
5397 TRUXTUN AVE, BAKERSFIELD, CA 93309-0641
(661) 832-5530
(661) 832-0137
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
47411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306864210
—
CA
Enumeration date
09/30/2015
Last updated
12/08/2016
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