Provider Demographics
NPI:1730379702
Name:TINER DENTAL CORPORATION
Entity type:Organization
Organization Name:TINER DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ASST.
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-327-7878
Mailing Address - Street 1:820 34TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2283
Mailing Address - Country:US
Mailing Address - Phone:661-327-7878
Mailing Address - Fax:
Practice Address - Street 1:820 34TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2283
Practice Address - Country:US
Practice Address - Phone:661-327-7878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TINER DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty