Commercial

Geoffrey GomezHealth Net

Dental HMO – Southern California

Imperial, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego,San Luis Obispo, Santa Barbara, and Ventura counties

Health Net of California, Inc. (Health Net) Dental HMO Provider Network

October 2018

Planes Comerciales

Dental HMO – Sur de California

Condados de Imperial, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego,San Luis Obispo, Santa Barbara y Ventura

Red de Proveedores de Health Net of California, Inc. (Health Net) Dental HMO

Octubre de 2018

Health Net of California, Inc. (Health Net)

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Health Net of California, Inc. (Health Net)

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Nondiscrimination NoticeIn addition to the State of California nondiscrimination requirements (as described in benefit coverage documents), Health Net of California, Inc. (Health Net) complies with applicable federal civil rights laws and does not discriminate, exclude people or treat them differently on the basis of race, color, national origin, ancestry, religion, marital status, gender, gender identity, sexual orientation, age, disability, or sex.

Health Net:• Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified

sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).

• Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact Health Net’s Customer Contact Center at:Individual & Family Plan (IFP) Members On Exchange/Covered California 1-888-926-4988 (TTY: 711)Individual & Family Plan (IFP) Members Off Exchange 1-800-839-2172 (TTY: 711)Individual & Family Plan (IFP) Applicants 1-877-609-8711 (TTY: 711)Group Plans through Health Net 1-800-522-0088 (TTY: 711)

If you believe that Health Net has failed to provide these services or discriminated in another way based on one of the characteristics listed above, you can file a grievance by calling Health Net’s Customer Contact Center at the number above and telling them you need help filing a grievance. Health Net’s Customer Contact Center is available to help you file a grievance. You can also file a grievance by mail, fax or email at:

Health Net of California, Inc. Appeals & Grievances PO Box 10348 Van Nuys, CA 91410-0348

Fax: 1-877-831-6019 Email: Member.Discrimination.Complaints@healthnet.com (Members) or

Non-Member.Discrimination.Complaints@healthnet.com (Applicants)

If your health problem is urgent, if you already filed a complaint with Health Net of California, Inc. and are not satisfied with the decision or it has been more than 30 days since you filed a complaint with Health Net of California, Inc., you may submit an Independent Medical Review/Complaint Form with the Department of Managed Health Care (DMHC). You may submit a complaint form by calling the DMHC Help Desk at 1-888-466-2219 (TDD: 1-877-688-9891) or online at www.dmhc.ca.gov/FileaComplaint.

If you believe you have been discriminated against because of race, color, national origin, age, disability, or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR), electronically through the OCR Complaint Portal, at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Health Net of California, Inc. is a subsidiary of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. All rights reserved.FLY020471EP00 (6/18) FT

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INTRO

THE PLAN FOR PEOPLE WHO ENJOY WEARING A BRIGHT, HEALTHY SMILE - HEALTH NET DENTAL HMO.

HEALTH NET DIRECTORY OF PARTICIPATING DENTISTS lWelcome to Health Net Dental HMO. We’re pleased you have chosen Health Net. We are dedicated to providing you with quality dental coverage and access to the information you need to make the best decisions for you and your family.

lThis directory contains the names and locations of the dentists who provide care to Health Net Dental HMO members. Each one has been pre-screened and each office thoroughly evaluated prior to their being accepted into our program. You can be assured that any office you choose will provide you with excellent care and service.

Please take a moment to review this provider directory. Health Net Dental wants to make sure you are satisfied with your dental benefits. If you have any questions, please contact the Health Net Dental Member Services Department.

YOUR DENTAL DIRECTORY

We have included an extensive directory of network dentists located throughout the community. The dentist information that can be found within this directory includes:

• Name, location and phone number• Foreign languages spoken, if any• Wheelchair accessibility• Licensure, certification and other regulatory considerations• Whether or not the office is accepting new patients

This directory contains a listing of primary care dentists only. Please refer to your enrollment information for details on coverage for specialty care.

Should you have questions, please call the Health Net Dental toll-free number listed in your enrollment information. We offer language assistance services at no charge to you. If you require translations or need assistance receiving care in languages other than English please call the toll-free number listed in your enrollment information or by contacting our general Member Services number at 800-445-9090 for translation support.

HOW TO FIND A DENTIST IN YOUR AREA lThis directory lists general dentists alphabetically by the city where they are located. Once you have found one near your home or office, include the Provider Number in the indicated space on the enrollment form. This is the dentist who will provide your basic dental care. Remember, each enrolled person in your family may choose a different contracted HMO dentist.

lSpecialty care dentists (periodontists, endodontists, orthodontists, oral surgeons and pedodontists) are available through a referral process outlined in your Evidence of Coverage booklet.

MEETING OUR QUALITY STANDARDS

You can have confidence knowing you are receiving care from dentists who have been carefully selected for participation in our network. All network dentists undergo a rigorous review and credentialing process prior to being accepted into our network, which includes the following major elements:

• Dentist education, training and experience• Malpractice history

This process confirms that each dentist has the required credentials to participate in the network.

Health Net Dental cannot guarantee the continuing participation of dentists currently listed in this directory. When a provider no longer participates in the network, or has changed participation status, additional costs may be incurred. We recommend that you call the Health Net Dental Member Services Department to verify that a dentist is currently participating in the network prior to seeking care.

YOUR EVIDENCE OF COVERAGE lAn Evidence of Coverage (EOC) will be provided in your enrollment kit when you enroll with Health Net Dental HMO. Check the sections on “Making an Appointment,” “Specialty Referrals” and “Changing Your Dentist” for more information on how to access your plan benefits. Your EOC is filled with valuable information that will help you better understand how your plan works.

AMERICAN DISABILITIES ACT NOTICE

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full and equal access to covered services and do not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

ASSISTANCE lIf you have questions or would like assistance in selecting or changing dentists, just call Member Services at 1-866-249-2382 (1-800-855-2880 TDD/TTY).

Copies of our network provider directory are available at no cost by calling the Member Services Department.

If you believe you there is an error in this directory, please call us at 1-866-249-2382 or email at provdirectory@yourdentalplan.com.

Dental Benefits are administered by:Dental Benefit Providers of California, Inc.

DMO000HNSOCA Printed in U.S.A. 09/18

3GENERAL DENTISTS

California

IMPERIAL COUNTY

BRAWLEY

BODMAN, RONACLINICAS DE SALUD DEL PUEBLO INC(760)-344-3583 Prov. No: 000012741261 1166 K ST BRAWLEY, CA 92227Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 64113Board Certified: Not ReportedNPI: 1992193726Fax: (760)-344-8480Accepts New Patients: Y

ESPANA, CARLOS M.CLINICAS DE SALUD DEL PUEBLO INC(760)-344-3583 Prov. No: 000012741262 1166 K ST BRAWLEY, CA 92227Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 37658Board Certified: Not ReportedNPI: 1508936709Fax: (760)-344-8480Accepts New Patients: Y

MORA, GISELACLINICAS DE SALUD DEL PUEBLO INC(760)-344-3583 Prov. No: 000012854368 1166 K ST BRAWLEY, CA 92227Language: Gender: FemaleE-mail: Not ReportedLicense: 102061Board Certified: Not ReportedNPI: 1982113239Fax: (760)-344-8480Accepts New Patients: Y

SHUE, BRIANCLINICAS DE SALUD DEL PUEBLO INC(760)-344-3583 Prov. No: 000000252338 1166 K ST BRAWLEY, CA 92227Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 41548Board Certified: NNPI: 1235296898Fax: (760)-344-8480Accepts New Patients: Y

SLATON, ADELACLINICAS DE SALUD DEL PUEBLO INC(760)-344-3583 Prov. No: 000012047357 1166 K ST BRAWLEY, CA 92227Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 44262Board Certified: Not ReportedNPI: 1720342637Fax: (760)-344-8480Accepts New Patients: Y

TANDON, MARY C.CLINICAS DE SALUD DEL PUEBLO INC(760)-344-3583 Prov. No: 000012758862 1166 K ST BRAWLEY, CA 92227Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 59754Board Certified: Not ReportedNPI: 1841502523Fax: (760)-344-8480Accepts New Patients: Y

CALEXICO

ALEMI, HAMEDCLINICA DE SALUD DEL PUEBLO(760)-357-2748 Prov. No: 000012026088 223 W COLE BLVD CALEXICO, CA 92231Language: Persian Spanish UrduGender: MaleE-mail: BARBARAO@CDSDP.ORGLicense: 52965Board Certified: Not ReportedNPI: 1598984924Fax: (760)-357-6405Accepts New Patients: Y

CAFFEJIAN, ALBERTCLINICA DE SALUD DEL PUEBLO(760)-357-2748 Prov. No: 000008667849 223 W COLE BLVD CALEXICO, CA 92231Language: Not ReportedGender: MaleE-mail: BARBARAO@CDSDP.ORGLicense: 28128Board Certified: Not ReportedNPI: 1881896389Fax: (760)-357-6405Accepts New Patients: Y

RICHARDSON, ALBERTCLINICA DE SALUD DEL PUEBLO(760)-357-2748 Prov. No: 000008514293 223 W COLE BLVD CALEXICO, CA 92231Language: Not ReportedGender: MaleE-mail: BARBARAO@CDSDP.ORGLicense: 27191Board Certified: NNPI: 1437216678Fax: (760)-357-6405Accepts New Patients: Y

RODERICK, THOMAS L.CLINICA DE SALUD DEL PUEBLO(760)-357-2748 Prov. No: 000012741796 223 W COLE BLVD CALEXICO, CA 92231Language: Not ReportedGender: MaleE-mail: BARBARAO@CDSDP.ORGLicense: 33655Board Certified: Not ReportedNPI: 1386752574Fax: (760)-357-6405Accepts New Patients: Y

TANDON, MARY C.CLINICA DE SALUD DEL PUEBLO(760)-357-2748 Prov. No: 000012842115 223 W COLE BLVD CALEXICO, CA 92231Language: EnglishGender: FemaleE-mail: BARBARAO@CDSDP.ORGLicense: 59754Board Certified: Not ReportedNPI: 1841502523Fax: (760)-357-6405Accepts New Patients: Y

EL CENTRO

AGHALOO, JAVAD S.SOUTHWEST DENTAL GROUP CORP(760)-482-5505 Prov. No: 000000247308 1502 S LA BRUCHERIE RD EL CENTRO, CA 92243Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 51184Board Certified: Not ReportedNPI: 1073708582Fax: (760)-482-5501Accepts New Patients: Y

ARRECHEA, RAUL E.SOUTHWEST DENTAL GROUP CORP(760)-482-5505 Prov. No: 000012199953 1502 S LA BRUCHERIE RD EL CENTRO, CA 92243Language: Not ReportedGender: Not ReportedE-mail: Not ReportedLicense: 58001Board Certified: Not ReportedNPI: 1487891313Fax: (760)-482-5501Accepts New Patients: Y

PARK, DAVID S.EL CENTRO DENTAL GROUP(760)-312-5888 Prov. No: 000012061910 617 S 8TH ST EL CENTRO, CA 92243Language: KoreanGender: MaleE-mail: ELCENTRODENTALGROUP@YAHOO.COMLicense: 53724Board Certified: NNPI: 1942410501Fax: Not ReportedAccepts New Patients: Y

KERN COUNTY

ARVIN

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4 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

ARVIN (Cont)

GILL, SUKHWINDER S.AFFORDABLE DENTAL II(661)-854-3306 Prov. No: 000002700688 505 BEAR MOUNTAIN BLVD STE AARVIN, CA 93203Language: English Hindi SpanishGender: MaleE-mail: Not ReportedLicense: 50373Board Certified: Not ReportedNPI: 1437358538Fax: (661)-854-3357Accepts New Patients: Y

GONG, SANDRA J.SANDRA J GONG DDS(661)-854-5558 Prov. No: 000000008431 101 COMANCHE DR ARVIN, CA 93203Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 29891Board Certified: Not ReportedNPI: 1104966241Fax: (661)-854-2696Accepts New Patients: N

BAKERSFIELD

ABDESHAHIAN, IMANIMAN ABDESHAHIAN(661)-345-0443 Prov. No: 000012543705 515 W COLUMBUS ST STE A-B BAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 83466Board Certified: Not ReportedNPI: 1881137107Fax: Not ReportedAccepts New Patients: Y

ABIAOUI, AMALNATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000001104531 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 47027Board Certified: Not ReportedNPI: 1407853690Fax: (661)-772-5249Accepts New Patients: Y

ABIAOUI, AMAL(800)-300-6664 Prov. No: 000001824506 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: Not ReportedGender: MaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 47027Board Certified: Not ReportedNPI: 1407853690Fax: (661)-588-5177Accepts New Patients: Y

ABIAOUI, AMALOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237366 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 47027Board Certified: Not ReportedNPI: 1407853690Fax: (661)-630-7750Accepts New Patients: Y

ABUDE, PETER D.GENTLE DENTAL WIBLE(661)-835-8672 Prov. No: 000012759235 3400 WIBLE RD BAKERSFIELD, CA 93309Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 62541Board Certified: NNPI: 1497196117Fax: Not ReportedAccepts New Patients: Y

ABUDE, PETER D.GENTLE DENTAL PANAMA WIBLE(661)-396-0156 Prov. No: 000012792151 3150 PANAMA LN STE IBAKERSFIELD, CA 93313Language: Not ReportedGender: FemaleE-mail: ZAPATAR@INTERDENT.COMLicense: 62541Board Certified: NNPI: 1497196117Fax: (661)-396-0365Accepts New Patients: Y

ABUDE, PETER D.GENTLE DENTAL TOWN & COUNTRY(661)-834-9042 Prov. No: 000012792152 8200 STOCKDALE HWY STE M9 RM 1BAKERSFIELD, CA 93311Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 62541Board Certified: NNPI: 1497196117Fax: (661)-834-2526Accepts New Patients: Y

ABUDE, PETER D.GENTLE DENTAL ROSEDALE(661)-589-5248 Prov. No: 000012792153 9600 ROSEDALE HWY STE ABAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 62541Board Certified: NNPI: 1497196117Fax: (661)-589-7781Accepts New Patients: Y

AFSHARI, NAHIDWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012136787 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Farsi SpanishGender: FemaleE-mail: Not ReportedLicense: 55259Board Certified: Not ReportedNPI: 1144382276Fax: (661)-397-5639Accepts New Patients: Y

AGUILAR RIOS, ETHEL N.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012543194 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 64799Board Certified: Not ReportedNPI: 1568848190Fax: (661)-397-5639Accepts New Patients: Y

AJAYI, ADEKUNLE B.RIVER LAKES DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000012753763 9510 HAGEMAN RD STE B BAKERSFIELD, CA 93312Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 101954Board Certified: Not ReportedNPI: 1336592682Fax: (303)-952-0892Accepts New Patients: Y

AJAYI, ADEKUNLE B.STOCKDALE SMILES DENTISTRY & ORTHODONTICS(714)-845-8890 Prov. No: 000012754017 11120 STOCKDALE HWY STE 103BAKERSFIELD, CA 93311Language: Not ReportedGender: MaleE-mail: SMILE@STOCKDALESMILESDENTISTRY.COMLicense: 101954Board Certified: Not ReportedNPI: 1336592682Fax: (303)-952-0892Accepts New Patients: Y

AL-HADDADIN, HANAN S.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012490327 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60391Board Certified: NNPI: 1780979393Fax: (559)-688-3313Accepts New Patients: Y

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5GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

ALKHALAYLEH, MOSHEERHOME CARE DENTAL(661)-366-6527 Prov. No: 000000322822 5917 NILES ST STE 3BAKERSFIELD, CA 93306Language: Arabic English SpanishGender: MaleE-mail: Not ReportedLicense: 47836Board Certified: YNPI: 1073703468Fax: (661)-366-5400Accepts New Patients: Y

ALYESH, BENJAMINGASFORD VILLAGE DENTAL GROUP(714)-845-8890 Prov. No: 000012833639 5353 GOSFORD RD STE 103 BAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: CREDENTIALING@PACDEN.COMLicense: 65169Board Certified: Not ReportedNPI: 1558730192Fax: (714)-845-8890Accepts New Patients: Y

ANJIRGHOOLI, OSHIN S.GENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000008514173 3400 WIBLE RD BAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 62333Board Certified: Not ReportedNPI: 1598103814Fax: (661)-835-7529Accepts New Patients: Y

ANJIRGHOOLI, OSHIN S.GENTLE DENTAL ROSEDALE(661)-589-5248 Prov. No: 000012007756 9600 ROSEDALE HWY STE ABAKERSFIELD, CA 93312Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 62333Board Certified: Not ReportedNPI: 1598103814Fax: (661)-589-7781Accepts New Patients: Y

ASATRYAN, SONAWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000000688227 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 58684Board Certified: Not ReportedNPI: 1114252384Fax: (559)-688-3313Accepts New Patients: Y

BABIAN, AVOGENTLE DENTAL ROSEDALE(661)-589-5248 Prov. No: 000012422992 9600 ROSEDALE HWY STE ABAKERSFIELD, CA 93312Language: SpanishGender: MaleE-mail: Not ReportedLicense: 52039Board Certified: Not ReportedNPI: 1235388778Fax: (661)-589-7781Accepts New Patients: Y

BANG, LINDABAKERSFIELD DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000000193131 5120 STOCKDALE HWY STE DBAKERSFIELD, CA 933092673Language: Not ReportedGender: FemaleE-mail: CREDENTIALING@PACDEN.COMLicense: 43355Board Certified: Not ReportedNPI: 1033225735Fax: (303)-952-0892Accepts New Patients: Y

BETITA, BARBARA JEAN B.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001550542 2750 MING AVE BAKERSFIELD, CA 93304Language: Farsi Spanish Tagalog VietnameseGender: FemaleE-mail: Not ReportedLicense: 47035Board Certified: Not ReportedNPI: 1962577825Fax: (661)-396-0751Accepts New Patients: Y

BRAR, ARPANPREET K.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012528250 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 64584Board Certified: Not ReportedNPI: 1851774285Fax: (661)-397-5639Accepts New Patients: Y

DAVIS, PURNELL G.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001539430 2750 MING AVE BAKERSFIELD, CA 93304Language: SpanishGender: MaleE-mail: Not ReportedLicense: 27877Board Certified: Not ReportedNPI: 1679719520Fax: (661)-396-0751Accepts New Patients: Y

DE CASTRO, CLARISSA Y.NATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000001135449 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55693Board Certified: Not ReportedNPI: 1952507600Fax: (661)-772-5249Accepts New Patients: Y

DE CASTRO, CLARISSA Y.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012168931 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: SpanishGender: FemaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 55693Board Certified: Not ReportedNPI: 1952507600Fax: (661)-588-5177Accepts New Patients: Y

DE CASTRO, CLARISSA Y.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237365 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55693Board Certified: Not ReportedNPI: 1952507600Fax: (661)-630-7750Accepts New Patients: Y

DHILLON, RASHMINDER K.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012036438 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: English Hindi UrduGender: FemaleE-mail: Not ReportedLicense: 61339Board Certified: Not ReportedNPI: 1275893000Fax: (661)-588-2587Accepts New Patients: Y

DHILLON, SONIASMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000002021578 2750 MING AVE BAKERSFIELD, CA 93304Language: Hindi SpanishGender: FemaleE-mail: Not ReportedLicense: 48901Board Certified: Not ReportedNPI: 1861588063Fax: (661)-396-0751Accepts New Patients: Y

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6 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

DIZON, MARIA C.17TH STREET DENTAL CARE(661)-631-0529 Prov. No: 000000423149 1621 17TH ST BAKERSFIELD, CA 93301Language: SpanishGender: FemaleE-mail: MCDC7325@YAHOO.COMLicense: 43593Board Certified: Not ReportedNPI: 1275613580Fax: (661)-631-0797Accepts New Patients: Y

EFFIOM, UTIBE R.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012079893 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 54249Board Certified: Not ReportedNPI: 1013109867Fax: (661)-397-5639Accepts New Patients: Y

EFFIOM, UTIBE R.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012079913 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 54249Board Certified: Not ReportedNPI: 1013109867Fax: (661)-588-2587Accepts New Patients: Y

EHSAN, NIMAWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000003695425 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 61973Board Certified: NNPI: 1962781427Fax: (559)-688-3313Accepts New Patients: Y

EHSAN, NIMAWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000003695439 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 61973Board Certified: NNPI: 1962781427Fax: (661)-397-5639Accepts New Patients: Y

EHSAN, NIMAWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000003695442 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 61973Board Certified: NNPI: 1962781427Fax: (661)-588-2587Accepts New Patients: Y

FARAGALLA, AMGAD A.NATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000001135502 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: SpanishGender: MaleE-mail: Not ReportedLicense: 57061Board Certified: Not ReportedNPI: 1750538062Fax: (661)-772-5249Accepts New Patients: Y

FARAGALLA, AMGAD A.(800)-300-6664 Prov. No: 000001959247 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: SpanishGender: MaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 57061Board Certified: Not ReportedNPI: 1750538062Fax: (661)-588-5177Accepts New Patients: Y

FARAGALLA, AMGAD A.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237369 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: SpanishGender: MaleE-mail: Not ReportedLicense: 57061Board Certified: Not ReportedNPI: 1750538062Fax: (661)-630-7750Accepts New Patients: Y

FARHANG-AZAD, LEILASMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000423056 2750 MING AVE BAKERSFIELD, CA 93304Language: Gender: FemaleE-mail: Not ReportedLicense: 53990Board Certified: Not ReportedNPI: 1225067150Fax: (661)-396-0751Accepts New Patients: Y

FRISANCHO, MIGUEL A.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000005483250 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: SpanishGender: MaleE-mail: Not ReportedLicense: 57851Board Certified: Not ReportedNPI: 1124271937Fax: (661)-397-5639Accepts New Patients: Y

GAKHAR, ALPANAWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012084137 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: English Hindi UrduGender: FemaleE-mail: Not ReportedLicense: 63624Board Certified: Not ReportedNPI: 1043628639Fax: (661)-397-5639Accepts New Patients: Y

GHALAMBOR, MAZIYAR A.MAZIYAR GHALAMBOR DDS(661)-322-8860 Prov. No: 000000019109 1801 26TH ST BAKERSFIELD, CA 93301Language: English FarsiGender: MaleE-mail: Not ReportedLicense: 44884Board Certified: Not ReportedNPI: 1235204645Fax: (661)-322-8864Accepts New Patients: Y

GOYAL, VINITASMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001142237 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 59491Board Certified: Not ReportedNPI: 1194038570Fax: (661)-396-0751Accepts New Patients: Y

GREDINBERG, TALA V.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001173247 2750 MING AVE BAKERSFIELD, CA 93304Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 56303Board Certified: Not ReportedNPI: 1457548851Fax: (661)-396-0751Accepts New Patients: Y

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7GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

GREWAL, DEEPINDER S.GENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000012090322 3400 WIBLE RD BAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 56890Board Certified: Not ReportedNPI: 1588672968Fax: (661)-835-7529Accepts New Patients: Y

GREWAL, DEEPINDER S.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012708586 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 56890Board Certified: Not ReportedNPI: 1588672968Fax: (661)-397-5639Accepts New Patients: Y

HA, DUONGGENTLE DENTAL TOWN & COUNTRY(661)-834-9042 Prov. No: 000001216503 8200 STOCKDALE HWY STE M9 RM 1BAKERSFIELD, CA 93311Language: English VietnameseGender: MaleE-mail: Not ReportedLicense: 59400Board Certified: Not ReportedNPI: 1457665705Fax: (661)-834-2526Accepts New Patients: Y

HAMDAN, HADI D.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000008667565 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: SpanishGender: MaleE-mail: Not ReportedLicense: 47901Board Certified: Not ReportedNPI: 1922145044Fax: (661)-588-2587Accepts New Patients: Y

HAMDAN, HADI D.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000008667570 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: SpanishGender: MaleE-mail: Not ReportedLicense: 47901Board Certified: Not ReportedNPI: 1922145044Fax: (661)-397-5639Accepts New Patients: Y

HAMDAN, HADI D.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000008667575 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: SpanishGender: MaleE-mail: Not ReportedLicense: 47901Board Certified: Not ReportedNPI: 1922145044Fax: (559)-688-3313Accepts New Patients: Y

HANNA, AMAL F.GENTLE DENTAL PANAMA WIBLE(661)-396-0156 Prov. No: 000003695313 3150 PANAMA LN STE IBAKERSFIELD, CA 93313Language: Arabic French SpanishGender: FemaleE-mail: ZAPATAR@INTERDENT.COMLicense: 62068Board Certified: NNPI: 1043555162Fax: (661)-396-0365Accepts New Patients: Y

HANNA, FARID M.FARID M HANNA DDS(661)-322-7696 Prov. No: 000000223870 3809 SAN DIMAS STE STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 31045Board Certified: Not ReportedNPI: 1245437516Fax: Not ReportedAccepts New Patients: Y

HASHEM, KHALID K.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000420500 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 50753Board Certified: Not ReportedNPI: 1316017064Fax: (661)-396-0751Accepts New Patients: Y

HA, TAIGENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000012424529 3400 WIBLE RD BAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 65341Board Certified: Not ReportedNPI: 1053778712Fax: (661)-835-7529Accepts New Patients: Y

HA, TAIGENTLE DENTAL PANAMA WIBLE(661)-396-0156 Prov. No: 000012424671 3150 PANAMA LN STE IBAKERSFIELD, CA 93313Language: EnglishGender: MaleE-mail: ZAPATAR@INTERDENT.COMLicense: 65341Board Certified: Not ReportedNPI: 1053778712Fax: (661)-396-0365Accepts New Patients: Y

HA, TAIGENTLE DENTAL TOWN & COUNTRY(661)-834-9042 Prov. No: 000012464105 8200 STOCKDALE HWY STE M9 RM 1BAKERSFIELD, CA 93311Language: EnglishGender: MaleE-mail: Not ReportedLicense: 65341Board Certified: Not ReportedNPI: 1053778712Fax: (661)-834-2526Accepts New Patients: Y

HEMMAT, SOHARIVER LAKES DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000012559763 9510 HAGEMAN RD STE B BAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 100741Board Certified: Not ReportedNPI: 1780134254Fax: (303)-952-0892Accepts New Patients: Y

HOANG, NAMGENTLE DENTAL TOWN & COUNTRY(661)-834-9042 Prov. No: 000001224925 8200 STOCKDALE HWY STE M9 RM 1BAKERSFIELD, CA 93311Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 49111Board Certified: Not ReportedNPI: 1831209303Fax: (661)-834-2526Accepts New Patients: Y

HOANG, NAMGENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000012065769 3400 WIBLE RD BAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 49111Board Certified: Not ReportedNPI: 1831209303Fax: (661)-835-7529Accepts New Patients: Y

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8 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

HUANG, TE-CHAOWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000010402833 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Gender: MaleE-mail: Not ReportedLicense: 59219Board Certified: NNPI: 1811255474Fax: (661)-397-5639Accepts New Patients: Y

HUANG, TE-CHAOWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000010402834 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Gender: MaleE-mail: Not ReportedLicense: 59219Board Certified: NNPI: 1811255474Fax: (559)-688-3313Accepts New Patients: Y

HUANG, TE-CHAOWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000010402835 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Gender: MaleE-mail: Not ReportedLicense: 59219Board Certified: NNPI: 1811255474Fax: (661)-588-2587Accepts New Patients: Y

HUNJAN, ISHABAKERSFIELD DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000012746750 5120 STOCKDALE HWY STE DBAKERSFIELD, CA 933092673Language: Not ReportedGender: FemaleE-mail: CREDENTIALING@PACDEN.COMLicense: 101332Board Certified: Not ReportedNPI: Not ReportedFax: (303)-952-0892Accepts New Patients: Y

HUYNH, PHI C.RIVER LAKES DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000000700602 9510 HAGEMAN RD STE B BAKERSFIELD, CA 93312Language: SpanishGender: MaleE-mail: Not ReportedLicense: 56413Board Certified: Not ReportedNPI: 1407043490Fax: (303)-952-0892Accepts New Patients: Y

HUYNH, PHI C.STOCKDALE SMILES DENTISTRY & ORTHODONTICS(714)-845-8890 Prov. No: 000005979957 11120 STOCKDALE HWY STE 103BAKERSFIELD, CA 93311Language: SpanishGender: MaleE-mail: SMILE@STOCKDALESMILESDENTISTRY.COMLicense: 56413Board Certified: Not ReportedNPI: 1407043490Fax: (303)-952-0892Accepts New Patients: Y

HWANG, WONILWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000001322952 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: SpanishGender: MaleE-mail: Not ReportedLicense: 50611Board Certified: Not ReportedNPI: 1083767198Fax: (559)-688-3313Accepts New Patients: Y

HWANG, WONILWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000001322955 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: SpanishGender: MaleE-mail: Not ReportedLicense: 50611Board Certified: Not ReportedNPI: 1083767198Fax: (661)-588-2587Accepts New Patients: Y

IBRAHIM, GEORGE E.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012200537 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: EnglishGender: MaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 62453Board Certified: Not ReportedNPI: 1265861801Fax: (661)-588-5177Accepts New Patients: Y

IBRAHIM, GEORGE E.NATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000012200540 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: EnglishGender: MaleE-mail: Not ReportedLicense: 62453Board Certified: Not ReportedNPI: 1265861801Fax: (661)-772-5249Accepts New Patients: Y

IBRAHIM, GEORGE E.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012473600 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: EnglishGender: MaleE-mail: Not ReportedLicense: 62453Board Certified: Not ReportedNPI: 1265861801Fax: (661)-630-7750Accepts New Patients: Y

JADHAV, MEGHASMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001149657 2750 MING AVE BAKERSFIELD, CA 93304Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 57744Board Certified: Not ReportedNPI: 1386706273Fax: (661)-396-0751Accepts New Patients: Y

JEFFERSON, WALTERGOSFORD VILLAGE DENTAL GROUP & ORTHODONTICS(661)-588-2065 Prov. No: 000002619054 5353 GOSFORD RD STE 103BAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: CREDENTIALING@PACDEN.COMLicense: 53460Board Certified: Not ReportedNPI: 1134239544Fax: (661)-588-2137Accepts New Patients: Y

JOSHI, BHASKAR M.BHASKAR M JOSHI DDS(661)-873-9632 Prov. No: 000000261221 2519 RIVER BLVD BAKERSFIELD, CA 93305Language: HindiGender: MaleE-mail: Not ReportedLicense: 48126Board Certified: Not ReportedNPI: 1750464608Fax: (661)-873-9647Accepts New Patients: Y

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9GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

KAMRANI, SAMIRSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000012720737 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: Not ReportedE-mail: Not ReportedLicense: 101889Board Certified: Not ReportedNPI: Not ReportedFax: (661)-396-0751Accepts New Patients: Y

KAMRANI, SAMIRRIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000012738976 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: Not ReportedGender: Not ReportedE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 101889Board Certified: Not ReportedNPI: Not ReportedFax: (661)-829-2770Accepts New Patients: Y

KAOU, MOHAMED A.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000001536260 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Arabic Romania SpanishGender: MaleE-mail: Not ReportedLicense: 61030Board Certified: NNPI: 1497022701Fax: (661)-397-5639Accepts New Patients: Y

KAOU, MOHAMED A.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000001700866 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Arabic Romania SpanishGender: MaleE-mail: Not ReportedLicense: 61030Board Certified: NNPI: 1497022701Fax: (559)-688-3313Accepts New Patients: Y

KAOU, MOHAMED A.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000001700867 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Arabic Romania SpanishGender: MaleE-mail: Not ReportedLicense: 61030Board Certified: NNPI: 1497022701Fax: (661)-588-2587Accepts New Patients: Y

KAPADIA, MEHAWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012070103 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 56843Board Certified: Not ReportedNPI: 1871763425Fax: (559)-688-3313Accepts New Patients: Y

KAPADIA, MEHAWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012070448 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 56843Board Certified: Not ReportedNPI: 1871763425Fax: (661)-588-2587Accepts New Patients: Y

KAUR, BIPINJITSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000444893 2750 MING AVE BAKERSFIELD, CA 93304Language: Gender: FemaleE-mail: Not ReportedLicense: 54270Board Certified: Not ReportedNPI: 1871739011Fax: (661)-396-0751Accepts New Patients: Y

KAUR, NAVNEETWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000010404985 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: HindiGender: FemaleE-mail: Not ReportedLicense: 62690Board Certified: NNPI: 1598197592Fax: (661)-397-5639Accepts New Patients: Y

KAUR, NAVNEETWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000011995341 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: HindiGender: FemaleE-mail: Not ReportedLicense: 62690Board Certified: NNPI: 1598197592Fax: (559)-688-3313Accepts New Patients: Y

KAUR, NAVNEETWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000011998275 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: HindiGender: FemaleE-mail: Not ReportedLicense: 62690Board Certified: NNPI: 1598197592Fax: (661)-588-2587Accepts New Patients: Y

KAUR, SUKHJEETSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001400557 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60389Board Certified: NNPI: 1104104439Fax: (661)-396-0751Accepts New Patients: Y

KIANI, FARHAD K.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012460860 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: FarsiGender: MaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 59172Board Certified: NNPI: 1356664189Fax: (661)-588-5177Accepts New Patients: Y

KIANI, KIANATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000012616204 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 60832Board Certified: Not ReportedNPI: 1356376396Fax: (661)-772-5249Accepts New Patients: Y

KIANI, KIAOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012616460 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: Not ReportedGender: MaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 60832Board Certified: Not ReportedNPI: 1356376396Fax: (661)-588-5177Accepts New Patients: Y

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10 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

KIANI, KIAOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012616461 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 60832Board Certified: Not ReportedNPI: 1356376396Fax: (661)-630-7750Accepts New Patients: Y

KIANI, KIAOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012855982 4151 MEXICALI DR BAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 60832Board Certified: Not ReportedNPI: 1356376396Fax: Not ReportedAccepts New Patients: Y

KIM, PETER D.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000012016913 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 49770Board Certified: Not ReportedNPI: 1932128071Fax: (661)-396-0751Accepts New Patients: Y

KIM, PETER D.BAKERSFIELD DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000012070796 5120 STOCKDALE HWY STE DBAKERSFIELD, CA 933092673Language: Not ReportedGender: MaleE-mail: CREDENTIALING@PACDEN.COMLicense: 49770Board Certified: Not ReportedNPI: 1932128071Fax: (303)-952-0892Accepts New Patients: Y

KIRAN, VIJAYA S.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000333131 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 50626Board Certified: NNPI: 1578621470Fax: (661)-396-0751Accepts New Patients: Y

KOYAMA, SARAH E.STOCKDALE SMILES DENTISTRY & ORTHODONTICS(714)-845-8890 Prov. No: 000012200288 11120 STOCKDALE HWY STE 103BAKERSFIELD, CA 93311Language: EnglishGender: FemaleE-mail: SMILE@STOCKDALESMILESDENTISTRY.COMLicense: 63826Board Certified: Not ReportedNPI: 1184033821Fax: (303)-952-0892Accepts New Patients: Y

LAMBRIDIS, DEANGOSFORD VILLAGE DENTAL GROUP & ORTHODONTICS(661)-588-2065 Prov. No: 000003172722 5353 GOSFORD RD STE 103BAKERSFIELD, CA 93313Language: English SpanishGender: MaleE-mail: CREDENTIALING@PACDEN.COMLicense: 51199Board Certified: Not ReportedNPI: 1003829052Fax: (661)-588-2137Accepts New Patients: Y

LAU, MATTHEW J.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001367339 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 58875Board Certified: NNPI: 1417282187Fax: (661)-396-0751Accepts New Patients: Y

LE, ANSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001123893 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 59621Board Certified: Not ReportedNPI: 1265660211Fax: (661)-396-0751Accepts New Patients: Y

LEE, KWANG B.GENTLE DENTAL TOWN & COUNTRY(661)-834-9042 Prov. No: 000000422513 8200 STOCKDALE HWY STE M9 RM 1BAKERSFIELD, CA 93311Language: English KoreanGender: MaleE-mail: Not ReportedLicense: 55099Board Certified: NNPI: 1861603573Fax: (661)-834-2526Accepts New Patients: Y

LEE, SAMUEL J.GENTLE DENTAL PANAMA WIBLE(661)-396-0156 Prov. No: 000012490483 3150 PANAMA LN STE IBAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: ZAPATAR@INTERDENT.COMLicense: 100700Board Certified: Not ReportedNPI: 1225588585Fax: (661)-396-0365Accepts New Patients: Y

LEE, YOUNG MIN M.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012003899 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 62454Board Certified: Not ReportedNPI: 1043659105Fax: (661)-397-5639Accepts New Patients: Y

LEE, YOUNG MIN M.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012004103 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: EnglishGender: MaleE-mail: Not ReportedLicense: 62454Board Certified: Not ReportedNPI: 1043659105Fax: (559)-688-3313Accepts New Patients: Y

LEE, YOUNG MIN M.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012007087 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: EnglishGender: MaleE-mail: Not ReportedLicense: 62454Board Certified: Not ReportedNPI: 1043659105Fax: (661)-588-2587Accepts New Patients: Y

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11GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

LE, TOMMY C.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000000420407 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: SpanishGender: MaleE-mail: Not ReportedLicense: 57630Board Certified: Not ReportedNPI: 1639327836Fax: (559)-688-3313Accepts New Patients: Y

LE, TOMMY C.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000000440263 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: SpanishGender: MaleE-mail: Not ReportedLicense: 57630Board Certified: Not ReportedNPI: 1639327836Fax: (661)-588-2587Accepts New Patients: Y

LE, TOMMY C.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000000691477 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: SpanishGender: MaleE-mail: Not ReportedLicense: 57630Board Certified: Not ReportedNPI: 1639327836Fax: (661)-397-5639Accepts New Patients: Y

LIN, CHEN-KAIWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012061509 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: ChineseGender: MaleE-mail: Not ReportedLicense: 62774Board Certified: NNPI: 1487084752Fax: (661)-397-5639Accepts New Patients: Y

LIN, CHEN-KAIWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012061762 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: ChineseGender: MaleE-mail: Not ReportedLicense: 62774Board Certified: NNPI: 1487084752Fax: (559)-688-3313Accepts New Patients: Y

LIN, JACK Y.GENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000000452419 3400 WIBLE RD BAKERSFIELD, CA 93309Language: Korean SpanishGender: MaleE-mail: Not ReportedLicense: 34370Board Certified: Not ReportedNPI: 1992873640Fax: (661)-835-7529Accepts New Patients: Y

LISWI, SAIF W.BAKERSFIELD DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000011550154 5120 STOCKDALE HWY STE DBAKERSFIELD, CA 933092673Language: Gender: MaleE-mail: CREDENTIALING@PACDEN.COMLicense: 61355Board Certified: Not ReportedNPI: 1083975767Fax: (303)-952-0892Accepts New Patients: Y

LUCIO, JULITA M.NATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000001104542 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 47938Board Certified: Not ReportedNPI: 1902967904Fax: (661)-772-5249Accepts New Patients: Y

LUCIO, JULITA M.(800)-300-6664 Prov. No: 000001926798 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: SpanishGender: FemaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 47938Board Certified: Not ReportedNPI: 1902967904Fax: (661)-588-5177Accepts New Patients: Y

LUCIO, JULITA M.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237370 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 47938Board Certified: Not ReportedNPI: 1902967904Fax: (661)-630-7750Accepts New Patients: Y

LUU, HUU-DUC D.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012219601 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 63885Board Certified: Not ReportedNPI: 1255651436Fax: (559)-688-3313Accepts New Patients: Y

LUU, HUU-DUC D.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012219602 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 63885Board Certified: Not ReportedNPI: 1255651436Fax: (661)-588-2587Accepts New Patients: Y

LUU, HUU-DUC D.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012219604 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 63885Board Certified: Not ReportedNPI: 1255651436Fax: (661)-397-5639Accepts New Patients: Y

LU, XIAOYUGENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000000420145 3400 WIBLE RD BAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 56098Board Certified: Not ReportedNPI: 1932394475Fax: (661)-835-7529Accepts New Patients: Y

MADHURE, VEENA S.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001539429 2750 MING AVE BAKERSFIELD, CA 93304Language: Gender: FemaleE-mail: Not ReportedLicense: 50488Board Certified: Not ReportedNPI: 1689742967Fax: (661)-396-0751Accepts New Patients: Y

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12 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

MAHDI, ANMAR G.ALL SMILES FAMILY DENTISTRY(661)-322-4732 Prov. No: 000000702354 2200 CHESTER AVE BAKERSFIELD, CA 93301Language: SpanishGender: MaleE-mail: Not ReportedLicense: 56455Board Certified: Not ReportedNPI: 1255583126Fax: (661)-322-9446Accepts New Patients: Y

MAI, ANH-THUWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000001172594 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 59479Board Certified: Not ReportedNPI: 1235447525Fax: (559)-688-3313Accepts New Patients: Y

MAI, ANH-THUWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000001299152 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 59479Board Certified: Not ReportedNPI: 1235447525Fax: (661)-397-5639Accepts New Patients: Y

MARSHALL, ROSANNA B.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012005171 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 47944Board Certified: Not ReportedNPI: 1821156191Fax: (661)-397-5639Accepts New Patients: Y

MASSOUMI, SAYEHSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001104620 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 56124Board Certified: Not ReportedNPI: 1972795953Fax: (661)-396-0751Accepts New Patients: Y

MATTAR, DINA Y.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000011772781 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 62382Board Certified: NNPI: 1902244668Fax: (661)-397-5639Accepts New Patients: Y

MEISTER, KRISTISMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000720493 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 59146Board Certified: Not ReportedNPI: 1245559053Fax: (661)-396-0751Accepts New Patients: Y

MICHEL, ANAGENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000010120957 3400 WIBLE RD BAKERSFIELD, CA 93309Language: EnglishGender: Not ReportedE-mail: Not ReportedLicense: 36679Board Certified: NNPI: 1124031794Fax: (661)-835-7529Accepts New Patients: Y

MOLNAR, GEORGETANATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000000272838 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: Not ReportedGender: Not ReportedE-mail: Not ReportedLicense: 36638Board Certified: Not ReportedNPI: 1063437853Fax: (661)-772-5249Accepts New Patients: Y

MOLNAR, GEORGETAOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012169114 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: Not ReportedGender: Not ReportedE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 36638Board Certified: Not ReportedNPI: 1063437853Fax: (661)-588-5177Accepts New Patients: Y

MOLNAR, GEORGETAOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237368 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: Not ReportedGender: Not ReportedE-mail: Not ReportedLicense: 36638Board Certified: Not ReportedNPI: 1063437853Fax: (661)-630-7750Accepts New Patients: Y

NADEEM, MUHAMMADWESTERN DENTAL SERVICES INC CA GENERAL(661)-431-1120 Prov. No: 000012611042 1201 24TH ST STE A BAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 101110Board Certified: Not ReportedNPI: 1649715863Fax: Not ReportedAccepts New Patients: Y

NADEEM, MUHAMMADWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012611044 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 101110Board Certified: Not ReportedNPI: 1649715863Fax: (661)-588-2587Accepts New Patients: Y

NADEEM, MUHAMMADWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012611182 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 101110Board Certified: Not ReportedNPI: 1649715863Fax: (661)-397-5639Accepts New Patients: Y

NAGTALON, IMELDAGENTLE DENTAL ROSEDALE(661)-589-5248 Prov. No: 000000447740 9600 ROSEDALE HWY STE ABAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 49154Board Certified: Not ReportedNPI: 1730238239Fax: (661)-589-7781Accepts New Patients: Y

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13GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

NARE, PREETISMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000692010 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 55113Board Certified: Not ReportedNPI: 1609937804Fax: (661)-396-0751Accepts New Patients: Y

NAZARIAN, SAMANWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000011994988 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 63022Board Certified: Not ReportedNPI: 1659709962Fax: (661)-397-5639Accepts New Patients: Y

NAZARIAN, SAMANWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000011995082 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: EnglishGender: MaleE-mail: Not ReportedLicense: 63022Board Certified: Not ReportedNPI: 1659709962Fax: (559)-688-3313Accepts New Patients: Y

NAZARIAN, SAMANWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000011995115 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: EnglishGender: MaleE-mail: Not ReportedLicense: 63022Board Certified: Not ReportedNPI: 1659709962Fax: (661)-588-2587Accepts New Patients: Y

NEDELTCHEV, KAMEN I.KAMEN I NEDELTCHEV DDS(661)-663-0109 Prov. No: 000000219180 500 OLD RIVER RD STE 225 BAKERSFIELD, CA 93311Language: Bulgarian English Russian SpanishGender: MaleE-mail: Not ReportedLicense: 50794Board Certified: Not ReportedNPI: 1740286392Fax: (661)-663-9810Accepts New Patients: Y

NEELAGIRI, KRISHNAWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000001320071 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60639Board Certified: NNPI: 1689952376Fax: (661)-397-5639Accepts New Patients: Y

NEELAGIRI, KRISHNAWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000001320073 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60639Board Certified: NNPI: 1689952376Fax: (559)-688-3313Accepts New Patients: Y

NEELAGIRI, KRISHNAWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000001320081 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60639Board Certified: NNPI: 1689952376Fax: (661)-588-2587Accepts New Patients: Y

NGUYEN, BRIAN T.RIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000012038056 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: EnglishGender: MaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 62565Board Certified: Not ReportedNPI: 1063854909Fax: (661)-829-2770Accepts New Patients: Y

NGUYEN, DUY DUCWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012490472 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: English Farsi Spanish Swedish VietnameseGender: MaleE-mail: Not ReportedLicense: 46905Board Certified: Not ReportedNPI: 1003905068Fax: (661)-397-5639Accepts New Patients: Y

NGUYEN, KIMMIERIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000000389678 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: Spanish VietnameseGender: FemaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 53723Board Certified: NNPI: 1700989977Fax: (661)-829-2770Accepts New Patients: Y

NGUYEN, THY DUNG K.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000011997720 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 61505Board Certified: NNPI: 1922356534Fax: (559)-688-3313Accepts New Patients: Y

NGUYEN, THY DUNG K.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000011997725 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 61505Board Certified: NNPI: 1922356534Fax: (661)-397-5639Accepts New Patients: Y

NGUYEN, THY DUNG K.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000011997727 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 61505Board Certified: NNPI: 1922356534Fax: (661)-588-2587Accepts New Patients: Y

NGUYEN, THY DUNG K.GENTLE DENTAL WIBLE(661)-835-8672 Prov. No: 000012841564 3400 WIBLE RD BAKERSFIELD, CA 93309Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 61505Board Certified: NNPI: 1922356534Fax: Not ReportedAccepts New Patients: Y

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14 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

NGUYEN, THY DUNG K.GENTLE DENTAL ROSEDALE(661)-589-5248 Prov. No: 000012870482 9600 ROSEDALE HWY STE ABAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 61505Board Certified: NNPI: 1922356534Fax: (661)-589-7781Accepts New Patients: Y

NILSON, LYNN I.BAKERSFIELD ORTHODONTIC GROUP(661)-323-5910 Prov. No: 000012423135 515 W COLUMBUS ST STE A-BBAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: SUZANNE@BRACES4YOU.COMLicense: 29737Board Certified: Not ReportedNPI: 1205010063Fax: (661)-323-5911Accepts New Patients: N

ONG, AGNES G.NATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000000664981 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 49383Board Certified: Not ReportedNPI: 1700880622Fax: (661)-772-5249Accepts New Patients: Y

ONG, AGNES G.(800)-300-6664 Prov. No: 000001824305 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 49383Board Certified: Not ReportedNPI: 1700880622Fax: (661)-588-5177Accepts New Patients: Y

OSMA, AMALIA S.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000011332086 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55605Board Certified: Not ReportedNPI: 1871707083Fax: (559)-688-3313Accepts New Patients: Y

OSMA, AMALIA S.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000011332088 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55605Board Certified: Not ReportedNPI: 1871707083Fax: (661)-588-2587Accepts New Patients: Y

OU-YANG, FREDSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000299359 2750 MING AVE BAKERSFIELD, CA 93304Language: English SpanishGender: MaleE-mail: Not ReportedLicense: 47302Board Certified: Not ReportedNPI: 1316033285Fax: (661)-396-0751Accepts New Patients: Y

PARK, EUIJOONWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012641323 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 101669Board Certified: Not ReportedNPI: 1093238610Fax: (661)-397-5639Accepts New Patients: Y

PARK, JIEUNWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012845709 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 64941Board Certified: Not ReportedNPI: 1427424563Fax: (661)-397-5639Accepts New Patients: Y

PARK, JIEUNWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012845719 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 64941Board Certified: Not ReportedNPI: 1427424563Fax: (559)-688-3313Accepts New Patients: Y

PARK, JIEUNWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012845721 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 64941Board Certified: Not ReportedNPI: 1427424563Fax: (661)-588-2587Accepts New Patients: Y

PATEL, BINTA A.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012074353 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: English HindiGender: FemaleE-mail: Not ReportedLicense: 63693Board Certified: Not ReportedNPI: 1750799961Fax: (559)-688-3313Accepts New Patients: Y

PATEL, BINTA A.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012074355 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: English HindiGender: FemaleE-mail: Not ReportedLicense: 63693Board Certified: Not ReportedNPI: 1750799961Fax: (661)-588-2587Accepts New Patients: Y

PATEL, BINTA A.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012074672 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: English HindiGender: FemaleE-mail: Not ReportedLicense: 63693Board Certified: Not ReportedNPI: 1750799961Fax: (661)-397-5639Accepts New Patients: Y

PEDDIREDDY, DIVYAADAM DIASTI DDS PC(661)-396-1701 Prov. No: 000010119694 2750 MING AVE BAKERSFIELD, CA 93304Language: English HindiGender: FemaleE-mail: Not ReportedLicense: 62530Board Certified: Not ReportedNPI: 1356782080Fax: Not ReportedAccepts New Patients: Y

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15GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

PHAM, JEREMY H.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012465117 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: English Spanish VietnameseGender: MaleE-mail: Not ReportedLicense: 62428Board Certified: NNPI: 1679912281Fax: (559)-688-3313Accepts New Patients: Y

PHAM, JEREMY H.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012465118 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: English Spanish VietnameseGender: MaleE-mail: Not ReportedLicense: 62428Board Certified: NNPI: 1679912281Fax: (661)-588-2587Accepts New Patients: Y

PHAM, JEREMY H.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012465119 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: English Spanish VietnameseGender: MaleE-mail: Not ReportedLicense: 62428Board Certified: NNPI: 1679912281Fax: (661)-397-5639Accepts New Patients: Y

PHAM, ROGER V.STOCKDALE SMILES DENTISTRY & ORTHODONTICS(714)-845-8890 Prov. No: 000012709630 11120 STOCKDALE HWY STE 103BAKERSFIELD, CA 93311Language: Not ReportedGender: MaleE-mail: SMILE@STOCKDALESMILESDENTISTRY.COMLicense: 100597Board Certified: Not ReportedNPI: 1295193746Fax: (303)-952-0892Accepts New Patients: Y

PHAM, UYENGENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000012000612 3400 WIBLE RD BAKERSFIELD, CA 93309Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 62661Board Certified: NNPI: 1700210705Fax: (661)-835-7529Accepts New Patients: Y

PHAM, UYENGENTLE DENTAL ROSEDALE(661)-589-5248 Prov. No: 000012000768 9600 ROSEDALE HWY STE ABAKERSFIELD, CA 93312Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 62661Board Certified: NNPI: 1700210705Fax: (661)-589-7781Accepts New Patients: Y

PRATER, SHAHRZAD S.RIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000012536549 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 57070Board Certified: Not ReportedNPI: 1912164468Fax: (661)-829-2770Accepts New Patients: Y

QIN, MICHAELGOSFORD VILLAGE DENTAL GROUP & ORTHODONTICS(661)-588-2065 Prov. No: 000012010537 5353 GOSFORD RD STE 103BAKERSFIELD, CA 93313Language: EnglishGender: MaleE-mail: CREDENTIALING@PACDEN.COMLicense: 62800Board Certified: NNPI: 1497182158Fax: (661)-588-2137Accepts New Patients: Y

RANDHAWA, NAVREETRIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000012026464 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: EnglishGender: FemaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 62762Board Certified: Not ReportedNPI: 1669804118Fax: (661)-829-2770Accepts New Patients: Y

RAZAVI, TARANEHRIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000004822948 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 61843Board Certified: Not ReportedNPI: 1912255860Fax: (661)-829-2770Accepts New Patients: Y

REDDY, MAHENDRA PARVATWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012821462 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 102292Board Certified: Not ReportedNPI: Not ReportedFax: (661)-397-5639Accepts New Patients: Y

REDDY, MAHENDRA PARVATWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012821465 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 102292Board Certified: Not ReportedNPI: Not ReportedFax: (559)-688-3313Accepts New Patients: Y

REDDY, MAHENDRA PARVATWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012821466 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 102292Board Certified: Not ReportedNPI: Not ReportedFax: (661)-588-2587Accepts New Patients: Y

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16 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

REDDY, NIRUPBORTAY DEHNADI DDS & NIRUP REDDY DDS INC(661)-398-5555 Prov. No: 000012580735 1507 PANAMA LN STE 102BAKERSFIELD, CA 93307Language: SpanishGender: MaleE-mail: HACIENDA.DENTAL@YAHOO.COMLicense: 50800Board Certified: Not ReportedNPI: 1841349669Fax: (661)-398-5510Accepts New Patients: Y

RIAZ, SAMREEN F.GENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000006963846 3400 WIBLE RD BAKERSFIELD, CA 93309Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 62312Board Certified: NNPI: 1801230453Fax: (661)-835-7529Accepts New Patients: Y

RYU, KUKHWAWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000001072614 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55538Board Certified: Not ReportedNPI: 1801013933Fax: (661)-588-2587Accepts New Patients: Y

RYU, KUKHWAWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000001399771 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55538Board Certified: Not ReportedNPI: 1801013933Fax: (559)-688-3313Accepts New Patients: Y

RYU, KUKHWAWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000001399775 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55538Board Certified: Not ReportedNPI: 1801013933Fax: (661)-397-5639Accepts New Patients: Y

SAFARKOOLAN, RAYMONDRIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000012541896 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: Not ReportedGender: MaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 64769Board Certified: Not ReportedNPI: 1740665728Fax: (661)-829-2770Accepts New Patients: Y

SALAMA, WASFI F.CENTENNIAL DENTAL CLINIC(661)-393-4333 Prov. No: 000000227822 201 CHINA GRADE LOOP BAKERSFIELD, CA 93308Language: Arabic SpanishGender: Not ReportedE-mail: Not ReportedLicense: 52464Board Certified: Not ReportedNPI: 1013101591Fax: (661)-393-4343Accepts New Patients: Y

SALAMA, WASFI F.HOME CARE DENTAL(661)-366-6527 Prov. No: 000000296131 5917 NILES ST STE 3BAKERSFIELD, CA 93306Language: Arabic SpanishGender: Not ReportedE-mail: Not ReportedLicense: 52464Board Certified: Not ReportedNPI: 1013101591Fax: (661)-366-5400Accepts New Patients: Y

SALAMA, WASFI F.MILLENNIUM DENTAL CENTER(661)-326-8536 Prov. No: 000000417979 1830 28TH ST BAKERSFIELD, CA 93301Language: Arabic SpanishGender: Not ReportedE-mail: Not ReportedLicense: 52464Board Certified: Not ReportedNPI: 1013101591Fax: (661)-326-8511Accepts New Patients: Y

SANTOS, AUGUSTO A.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012137788 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: SpanishGender: MaleE-mail: Not ReportedLicense: 53864Board Certified: Not ReportedNPI: 1124182837Fax: (559)-688-3313Accepts New Patients: Y

SARDARIAN, FARIBAGENTLE DENTAL PANAMA WIBLE(661)-396-0156 Prov. No: 000001771460 3150 PANAMA LN STE IBAKERSFIELD, CA 93313Language: Farsi FrenchGender: FemaleE-mail: ZAPATAR@INTERDENT.COMLicense: 46327Board Certified: YNPI: 1528161775Fax: (661)-396-0365Accepts New Patients: Y

SATTOUT, OMARWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012209711 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 63154Board Certified: NNPI: 1639500242Fax: (661)-397-5639Accepts New Patients: Y

SCHWANDT, BRUCE E.GENTLE DENTAL PANAMA WIBLE(661)-396-0156 Prov. No: 000000407405 3150 PANAMA LN STE IBAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: ZAPATAR@INTERDENT.COMLicense: 30695Board Certified: Not ReportedNPI: 1083721831Fax: (661)-396-0365Accepts New Patients: Y

SCHWANDT, BRUCE E.GENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000000407418 3400 WIBLE RD BAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 30695Board Certified: Not ReportedNPI: 1083721831Fax: (661)-835-7529Accepts New Patients: Y

SCHWANDT, BRUCE E.GENTLE DENTAL TOWN & COUNTRY(661)-834-9042 Prov. No: 000000409677 8200 STOCKDALE HWY STE M9 RM 1BAKERSFIELD, CA 93311Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 30695Board Certified: Not ReportedNPI: 1083721831Fax: (661)-834-2526Accepts New Patients: Y

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17GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

SHAHBAZIAN, PIROUZWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012045023 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: English FarsiGender: MaleE-mail: Not ReportedLicense: 61312Board Certified: Not ReportedNPI: 1871845636Fax: (661)-397-5639Accepts New Patients: Y

SHAHBAZIAN, PIROUZWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012045026 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: English FarsiGender: MaleE-mail: Not ReportedLicense: 61312Board Certified: Not ReportedNPI: 1871845636Fax: (559)-688-3313Accepts New Patients: Y

SHAH, SAMIR K.GOSFORD VILLAGE DENTAL GROUP & ORTHODONTICS(661)-588-2065 Prov. No: 000012615120 5353 GOSFORD RD STE 103BAKERSFIELD, CA 93313Language: Not ReportedGender: MaleE-mail: CREDENTIALING@PACDEN.COMLicense: 63137Board Certified: Not ReportedNPI: 1972933091Fax: (661)-588-2137Accepts New Patients: Y

SHAKER, MARIAM A.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012550733 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 101134Board Certified: Not ReportedNPI: 1891170221Fax: (661)-588-5177Accepts New Patients: Y

SHAKER, MARIAM A.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012550737 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 101134Board Certified: Not ReportedNPI: 1891170221Fax: (661)-630-7750Accepts New Patients: Y

SHAKER, MARIAM A.NATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000012550761 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 101134Board Certified: Not ReportedNPI: 1891170221Fax: (661)-772-5249Accepts New Patients: Y

SHAKER, MARIAM A.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012855980 4151 MEXICALI DR BAKERSFIELD, CA 93313Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 101134Board Certified: Not ReportedNPI: 1891170221Fax: Not ReportedAccepts New Patients: Y

SHAMMOUT, HEBASMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000012638617 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 101493Board Certified: Not ReportedNPI: 1609306745Fax: (661)-396-0751Accepts New Patients: Y

SHEN, JIANXIONGWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000001536178 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60559Board Certified: NNPI: 1427335421Fax: (661)-397-5639Accepts New Patients: Y

SHEN, JIANXIONGWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000001536179 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60559Board Certified: NNPI: 1427335421Fax: (559)-688-3313Accepts New Patients: Y

SHEN, JIANXIONGWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000001536180 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 60559Board Certified: NNPI: 1427335421Fax: (661)-588-2587Accepts New Patients: Y

SHMARA, ALIALL SMILES FAMILY DENTISTRY(661)-322-4732 Prov. No: 000000702191 2200 CHESTER AVE BAKERSFIELD, CA 93301Language: SpanishGender: MaleE-mail: Not ReportedLicense: 53483Board Certified: Not ReportedNPI: 1538305875Fax: (661)-322-9446Accepts New Patients: Y

SILVERIO, JOSEPHINENATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000001655847 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55659Board Certified: Not ReportedNPI: 1609086446Fax: (661)-772-5249Accepts New Patients: Y

SILVERIO, JOSEPHINEOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012169115 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: SpanishGender: FemaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 55659Board Certified: Not ReportedNPI: 1609086446Fax: (661)-588-5177Accepts New Patients: Y

SILVERIO, JOSEPHINEOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237367 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55659Board Certified: Not ReportedNPI: 1609086446Fax: (661)-630-7750Accepts New Patients: Y

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18 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

SINGH, SATINDERWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012467126 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Gender: Not ReportedE-mail: Not ReportedLicense: 100301Board Certified: Not ReportedNPI: 1568631588Fax: (661)-588-2587Accepts New Patients: Y

SINGH, SATINDERWESTERN DENTAL SERVICES INC CA GENERAL(661)-431-1120 Prov. No: 000012602614 1201 24TH ST STE A BAKERSFIELD, CA 93301Language: Gender: Not ReportedE-mail: Not ReportedLicense: 100301Board Certified: Not ReportedNPI: 1568631588Fax: Not ReportedAccepts New Patients: Y

SINGH, SATINDERWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012602644 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Gender: Not ReportedE-mail: Not ReportedLicense: 100301Board Certified: Not ReportedNPI: 1568631588Fax: (661)-397-5639Accepts New Patients: Y

SISODIA, KULWANT S.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001194228 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 46971Board Certified: Not ReportedNPI: 1104951359Fax: (661)-396-0751Accepts New Patients: Y

SODHI, SLEENAWESTERN DENTAL SERVICES INC CA GENERAL(661)-431-1120 Prov. No: 000012888642 1201 24TH ST STE A100 BAKERSFIELD, CA 93301Language: Not ReportedGender: Not ReportedE-mail: Not ReportedLicense: 102397Board Certified: Not ReportedNPI: 1386133247Fax: Not ReportedAccepts New Patients: Y

SULIMAN, SHAHENAZ M.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000001536498 2750 MING AVE BAKERSFIELD, CA 93304Language: Arabic EnglishGender: FemaleE-mail: Not ReportedLicense: 60604Board Certified: Not ReportedNPI: 1144508441Fax: (661)-396-0751Accepts New Patients: Y

TADLE, GUIANATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000001134719 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 56300Board Certified: NNPI: 1851588297Fax: (661)-772-5249Accepts New Patients: Y

TADLE, GUIAOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012192756 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: Not ReportedGender: FemaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 56300Board Certified: NNPI: 1851588297Fax: (661)-588-5177Accepts New Patients: Y

TADLE, GUIAOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237362 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 56300Board Certified: NNPI: 1851588297Fax: (661)-630-7750Accepts New Patients: Y

TAMSUT, ERICWESTERN DENTAL SERVICES(661)-397-7471 Prov. No: 000012717360 4401 MING AVE BAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 101373Board Certified: Not ReportedNPI: 1710401088Fax: Not ReportedAccepts New Patients: Y

TANGLAO, ELEANOR R.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000002449876 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 48190Board Certified: NNPI: 1568751816Fax: (661)-396-0751Accepts New Patients: Y

TAN, MARISTELA G.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000346791 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 50829Board Certified: Not ReportedNPI: 1164569646Fax: (661)-396-0751Accepts New Patients: Y

TEHRANI, EZRA S.HUYNH AND WATANABE DENTAL CORPORATION(714)-845-8890 Prov. No: 000006233234 9510 HAGEMAN RD STE B BAKERSFIELD, CA 93312Language: Not ReportedGender: MaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 62008Board Certified: NNPI: 1487991394Fax: (303)-952-0892Accepts New Patients: Y

TENG, CONANWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012690570 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 101258Board Certified: Not ReportedNPI: 1629403522Fax: (661)-397-5639Accepts New Patients: Y

TENG, CONANWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012820827 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: EnglishGender: MaleE-mail: Not ReportedLicense: 101258Board Certified: Not ReportedNPI: 1629403522Fax: (661)-588-2587Accepts New Patients: Y

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19GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

THAI, TRANG D.GENTLE DENTAL CA DENTAL CENTER(661)-835-8672 Prov. No: 000001089615 3400 WIBLE RD BAKERSFIELD, CA 93309Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 59662Board Certified: Not ReportedNPI: 1710293014Fax: (661)-835-7529Accepts New Patients: Y

THI, TRINHSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000296211 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: Not ReportedE-mail: Not ReportedLicense: Not ReportedBoard Certified: Not ReportedNPI: Not ReportedFax: (661)-396-0751Accepts New Patients: Y

THORNE, J MICHAEL(661)-829-2700 Prov. No: 000000217416 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: SpanishGender: Not ReportedE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 43868Board Certified: Not ReportedNPI: 1386899276Fax: Not ReportedAccepts New Patients: Y

TO, KEVIN W.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000012731680 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 102038Board Certified: Not ReportedNPI: 1184143562Fax: (661)-397-5639Accepts New Patients: Y

TO, KEVIN W.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000012732035 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 102038Board Certified: Not ReportedNPI: 1184143562Fax: (559)-688-3313Accepts New Patients: Y

TO, KEVIN W.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000012732036 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 102038Board Certified: Not ReportedNPI: 1184143562Fax: (661)-588-2587Accepts New Patients: Y

TO, TRANGSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000201398 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 52121Board Certified: Not ReportedNPI: 1700964251Fax: (661)-396-0751Accepts New Patients: Y

TRAN, AMY N.GOSFORD VILLAGE DENTAL GROUP & ORTHODONTICS(661)-588-2065 Prov. No: 000012005646 5353 GOSFORD RD STE 103BAKERSFIELD, CA 93313Language: Not ReportedGender: FemaleE-mail: CREDENTIALING@PACDEN.COMLicense: 61683Board Certified: Not ReportedNPI: 1033551338Fax: (661)-588-2137Accepts New Patients: Y

TRAN, NAM H.RIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000004940454 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: English VietnameseGender: FemaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 60812Board Certified: NNPI: 1356621924Fax: (661)-829-2770Accepts New Patients: Y

TRAN, NAM H.STOCKDALE SMILES DENTISTRY & ORTHODONTICS(714)-845-8890 Prov. No: 000010696062 11120 STOCKDALE HWY STE 103BAKERSFIELD, CA 93311Language: English VietnameseGender: FemaleE-mail: SMILE@STOCKDALESMILESDENTISTRY.COMLicense: 60812Board Certified: NNPI: 1356621924Fax: (303)-952-0892Accepts New Patients: Y

TRAN, PHUNG D.STOCKDALE SMILES DENTISTRY & ORTHODONTICS(714)-845-8890 Prov. No: 000012235316 11120 STOCKDALE HWY STE 103BAKERSFIELD, CA 93311Language: EnglishGender: FemaleE-mail: SMILE@STOCKDALESMILESDENTISTRY.COMLicense: 62467Board Certified: Not ReportedNPI: 1619318946Fax: (303)-952-0892Accepts New Patients: Y

TRAN, PHUNG D.GOSFORD VILLAGE DENTAL GROUP AND ORTHODONTICS(714)-845-8500 Prov. No: 000012842030 5353 GOSFORD RD STE 103BAKERSFIELD, CA 933134969Language: EnglishGender: FemaleE-mail: Not ReportedLicense: 62467Board Certified: Not ReportedNPI: 1619318946Fax: (303)-952-0892Accepts New Patients: Y

TRAN, PHUOC T.SMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000296239 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 48690Board Certified: Not ReportedNPI: 1588707418Fax: (661)-396-0751Accepts New Patients: Y

TRAN, TAM K.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000000425131 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 48559Board Certified: Not ReportedNPI: 1386782985Fax: (661)-588-2587Accepts New Patients: Y

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20 GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BAKERSFIELD (Cont)

TRINH, LAMSMILECARE-BAKERSFIELD(661)-396-1701 Prov. No: 000000296107 2750 MING AVE BAKERSFIELD, CA 93304Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 46341Board Certified: Not ReportedNPI: 1285704312Fax: (661)-396-0751Accepts New Patients: Y

VU, KHOA D.WESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000002159707 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: EnglishGender: MaleE-mail: Not ReportedLicense: 61592Board Certified: NNPI: 1295081404Fax: (661)-588-2587Accepts New Patients: Y

VU, KHOA D.WESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000002159710 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: EnglishGender: MaleE-mail: Not ReportedLicense: 61592Board Certified: NNPI: 1295081404Fax: (661)-397-5639Accepts New Patients: Y

VU, KHOA D.WESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000002159713 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: EnglishGender: MaleE-mail: Not ReportedLicense: 61592Board Certified: NNPI: 1295081404Fax: (559)-688-3313Accepts New Patients: Y

WALKER, HEATH B.RIVER LAKES DENTAL GROUP(661)-829-2700 Prov. No: 000012601689 9510 HAGEMAN RD STE BBAKERSFIELD, CA 93312Language: EnglishGender: MaleE-mail: SMILE@RIVERLAKESDENTAL.COMLicense: 62937Board Certified: Not ReportedNPI: 1669801312Fax: (661)-829-2770Accepts New Patients: Y

WATANABE, BRYAN K.RIVER LAKES DENTAL GROUP AND ORTHODONTICS(714)-845-8890 Prov. No: 000000239520 9510 HAGEMAN RD STE B BAKERSFIELD, CA 93312Language: English SpanishGender: MaleE-mail: Not ReportedLicense: 40130Board Certified: Not ReportedNPI: 1659383230Fax: (303)-952-0892Accepts New Patients: Y

WILLIAMS, SALLYNATIONAL HEALTH SERVICES(800)-300-6664 Prov. No: 000001193612 525 ROBERTS LN BLDG CBAKERSFIELD, CA 93308Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55404Board Certified: Not ReportedNPI: 1982739736Fax: (661)-772-5249Accepts New Patients: Y

WILLIAMS, SALLYOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012169113 1014 CALLOWAY DR BAKERSFIELD, CA 93312Language: SpanishGender: FemaleE-mail: CONTACT@OMNIFAMILYHEALTH.ORGLicense: 55404Board Certified: Not ReportedNPI: 1982739736Fax: (661)-588-5177Accepts New Patients: Y

WILLIAMS, SALLYOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000012237364 4600 PANAMA LN UNIT 102B BAKERSFIELD, CA 93313Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55404Board Certified: Not ReportedNPI: 1982739736Fax: (661)-630-7750Accepts New Patients: Y

WOLDEABEZGIE, ELIAS D.GENTLE DENTAL ROSEDALE(661)-589-5248 Prov. No: 000005060483 9600 ROSEDALE HWY STE ABAKERSFIELD, CA 93312Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 61816Board Certified: NNPI: 1962790592Fax: (661)-589-7781Accepts New Patients: Y

YOUN, EUN JUWESTERN DENTAL SERVICES(661)-397-7400 Prov. No: 000007194837 4401 MING AVE STE ABAKERSFIELD, CA 93309Language: English KoreanGender: FemaleE-mail: Not ReportedLicense: 58377Board Certified: NNPI: 1275860538Fax: (661)-397-5639Accepts New Patients: Y

YOUN, EUN JUWESTERN DENTAL SERVICES(661)-587-3512 Prov. No: 000007194866 3401 COFFEE RD STE ABAKERSFIELD, CA 93308Language: English KoreanGender: FemaleE-mail: Not ReportedLicense: 58377Board Certified: NNPI: 1275860538Fax: (661)-588-2587Accepts New Patients: Y

YOUN, EUN JUWESTERN DENTAL SERVICES(559)-688-3313 Prov. No: 000007195066 1201 24TH ST STE ABAKERSFIELD, CA 93301Language: English KoreanGender: FemaleE-mail: Not ReportedLicense: 58377Board Certified: NNPI: 1275860538Fax: (559)-688-3313Accepts New Patients: Y

BUTTONWILLOW

ABIAOUI, AMALBUTTONWILLOW MEDICAL & DENTAL CENTER(800)-300-6664 Prov. No: 000000170815 277 E FRONT ST BUTTONWILLOW, CA 93206Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 47027Board Certified: Not ReportedNPI: 1407853690Fax: (661)-764-6311Accepts New Patients: Y

DE CASTRO, CLARISSA Y.BUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000001135443 277 E FRONT ST BUTTONWILLOW, CA 93206Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55693Board Certified: Not ReportedNPI: 1952507600Fax: Not ReportedAccepts New Patients: Y

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21GENERAL DENTISTS (Continued)

KERN COUNTY (Cont)

BUTTONWILLOW (Cont)

FARAGALLA, AMGAD A.BUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000001135495 277 E FRONT ST BUTTONWILLOW, CA 93206Language: SpanishGender: MaleE-mail: Not ReportedLicense: 57061Board Certified: Not ReportedNPI: 1750538062Fax: Not ReportedAccepts New Patients: Y

IBRAHIM, GEORGE E.BUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000012200536 277 E FRONT ST BUTTONWILLOW, CA 93206Language: EnglishGender: MaleE-mail: Not ReportedLicense: 62453Board Certified: Not ReportedNPI: 1265861801Fax: Not ReportedAccepts New Patients: Y

KIANI, KIABUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000012616396 277 E FRONT ST BUTTONWILLOW, CA 93206Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 60832Board Certified: Not ReportedNPI: 1356376396Fax: Not ReportedAccepts New Patients: Y

LUCIO, JULITA M.BUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000001104540 277 E FRONT ST BUTTONWILLOW, CA 93206Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 47938Board Certified: Not ReportedNPI: 1902967904Fax: Not ReportedAccepts New Patients: Y

MOLNAR, GEORGETABUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000000170821 277 E FRONT ST BUTTONWILLOW, CA 93206Language: Not ReportedGender: Not ReportedE-mail: Not ReportedLicense: 36638Board Certified: Not ReportedNPI: 1063437853Fax: Not ReportedAccepts New Patients: Y

ONG, AGNES G.BUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000000296082 277 E FRONT ST BUTTONWILLOW, CA 93206Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 49383Board Certified: Not ReportedNPI: 1700880622Fax: Not ReportedAccepts New Patients: Y

SHAKER, MARIAM A.BUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000012550774 277 E FRONT ST BUTTONWILLOW, CA 93206Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 101134Board Certified: Not ReportedNPI: 1891170221Fax: Not ReportedAccepts New Patients: Y

SILVERIO, JOSEPHINEBUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000000390294 277 E FRONT ST BUTTONWILLOW, CA 93206Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55659Board Certified: Not ReportedNPI: 1609086446Fax: Not ReportedAccepts New Patients: Y

TADLE, GUIABUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000012193727 277 E FRONT ST BUTTONWILLOW, CA 93206Language: Not ReportedGender: FemaleE-mail: Not ReportedLicense: 56300Board Certified: NNPI: 1851588297Fax: Not ReportedAccepts New Patients: Y

WILLIAMS, SALLYBUTTONWILLOW MEDICAL & DENTAL CENTER(661)-764-5211 Prov. No: 000001134754 277 E FRONT ST BUTTONWILLOW, CA 93206Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55404Board Certified: Not ReportedNPI: 1982739736Fax: Not ReportedAccepts New Patients: Y

DELANO

ABIAOUI, AMALOMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000000664640 1215 JEFFERSON ST DELANO, CA 93215Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 47027Board Certified: Not ReportedNPI: 1407853690Fax: (661)-772-5336Accepts New Patients: Y

BANSI, HARJOTWESTERN DENTAL SERVICES(661)-370-4385 Prov. No: 000012788708 730 WOOLLOMES AVE STE 101 102DELANO, CA 93215Language: Not ReportedGender: MaleE-mail: Not ReportedLicense: 102231Board Certified: Not ReportedNPI: 1275040909Fax: (661)-370-4394Accepts New Patients: Y

DE CASTRO, CLARISSA Y.OMNI FAMILY HEALTH(800)-300-6664 Prov. No: 000001135447 1215 JEFFERSON ST DELANO, CA 93215Language: SpanishGender: FemaleE-mail: Not ReportedLicense: 55693Board Certified: Not ReportedNPI: 1952507600Fax: (661)-772-5336Accepts New Patients: Y

EFFIOM, UTIBE R.WESTERN DENTAL SERVICES(661)-370-4385 Prov. No: 000012079915 730 WOOLLOMES AVE STE 101 102DELANO, CA 93215Language: EnglishGender: FemaleE-mail: