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Organization

LANDMARK DENTAL

Active
Parent organization
LANDMARK DENTAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANDMARK DENTAL
Authorized official
DR. PERRY Y, JUE D.M.D (PARTNER)
(661) 399-5539
Entity
Organization

Contact information

Practice address
1023 N CHESTER AVE, BAKERSFIELD, CA 93308-3516
(661) 399-5539
(661) 399-5535
Mailing address
1023 N CHESTER AVE, BAKERSFIELD, CA 93308-3516
(661) 399-5539
(661) 399-5535

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
33650
CA
261QD0000X
Dental Clinic/Center
Primary
41430
CA
261QD0000X
Dental Clinic/Center
60937
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295025930
DENTIST GENERAL
CA
01
1558427252
DENTIST GENERAL
CA
01
1730523879
DENTIST GENERAL
CA
Enumeration date
01/10/2017
Last updated
01/10/2017
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