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
Fax: (661) 393-4343
Website:
Authorized official contact:
Name: Salama, Wasfi Fouad Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124354279 NPPES
California MEDICAID G94115-02

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