Organization
DANIEL SUR DDS INC DREAM DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITANIA NICOLE WILLIS (OFFICE MANAGER)
(661) 326-0766
Entity
Organization
Contact information
Practice address
1518 NILES STREET, BAKERFIELD, CA 93305-4806
(661) 326-0766
(661) 326-6482
Mailing address
1518 NILES STREET, BAKERFIELD, CA 93305-4806
(661) 326-0766
(661) 326-6482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51089
CA
1223G0001X
General Practice Dentistry
51139
CA
1223G0001X
General Practice Dentistry
52632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9361701
DENTI CAL
CA
Enumeration date
02/05/2007
Last updated
08/22/2020
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