Individual
DANIEL SUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1518 NILES ST, BAKERSFIELD, CA 93305-4806
(661) 326-0766
(661) 326-6482
Mailing address
1518 NILES ST, BAKERSFIELD, CA 93305-4806
(661) 326-0766
(661) 326-6482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
51089
CA
122300000X
Dentist
Primary
51139
CA
122300000X
Dentist
52632
CA
Other
Enumeration date
05/16/2006
Last updated
12/06/2012
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