Centennial Dental Clinic
LBN: Salama & Alkhalayleh Dental Corp
Centennial Dental Clinic is an health care organization with primary practice located at 201 China Grade Loop , Bakersfield CA 93308-1707. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Salama & Alkhalayleh Dental Corp can be contacted via phone (661) 393-4333, or through Salama, Wasfi Fouad via phone (661) 366-6527.
Contact Information
Primary practice address
201 China Grade Loop
Bakersfield CA 93308-1707
Phone: (661) 393-4333
Fax: (661) 393-4343
Website:
Authorized official contact:
Name: Salama, Wasfi Fouad Doctor of Dental Surgery (DDS)
Phone: (661) 366-6527
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 40854 | California |
Dental Providers / Endodontics | 1223E0200X | 53513 | California |
Dental Providers / General Practice | 1223G0001X | 52464 | California |
Dental Providers / General Practice | 1223G0001X | 47836 | California |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 50071 | California |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 55221 | California |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 53917 | California |
Profile Details
NPI number | 1124354279 |
---|---|
LBN Legal business name | Salama & Alkhalayleh Dental Corp |
DBA Doing business as | Centennial Dental Clinic |
Authorized official | Salama, Wasfi Fouad Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Oct 26th, 2009 |
Last updated | Oct 26th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124354279 | NPPES |
California | MEDICAID | G94115-02 |
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