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Contact Information

BEAR VALLEY DENTAL CARE
41628 BIG BEAR BLVD
BIG BEAR LAKE, CA92315
 Phone: 909-866-2646
 Fax: 909-866-1796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BEAR VALLEY DENTAL CARE

NPI Number 1093914582
LBN Legal business name BEAR VALLEY DENTAL CARE
Authorized official KATHERYN POOLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2007
Last updated 07/13/2007 - About 19 years ago
Identifiers
CA License # 40110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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