Old Town Dental

NPI #1184257008 in Tehachapi, California

Provider Information

NPI Number
1184257008
Entity Type
Organization
Organization Name
Old Town Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 19, 2020
Last Updated
Feb 19, 2020

Practice Location

Address
20406 BRIAN WAY # 2
ZIP Code
93561-8781
Phone
(661) 822-6706

Authorized Official

Name
MICHAEL JONES, DDS
Title
OWNER/DENTIST
Phone
(661) 822-6706

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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