A Beautiful Smile | |
6767 N Fresno St Suite 200 Fresno CA 93710-3709 | |
(559) 447-3020 | |
(559) 447-3025 |
Full Name | A Beautiful Smile |
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Speciality | Dentist |
Location | 6767 N Fresno St, Fresno, California |
Authorized Official Name and Position | Thomas Lee Winegarden (OWNER) |
Authorized Official Contact | 5594473020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Beautiful Smile 6767 N Fresno St Suite 200 Fresno CA 93710-3709 Ph: (559) 447-3020 | A Beautiful Smile 6767 N Fresno St Suite 200 Fresno CA 93710-3709 Ph: (559) 447-3020 |
NPI Number | 1861675597 |
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Provider Enumeration Date | 12/17/2007 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861675597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 29905 (California) | Primary |
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