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1404 N Ben Maddox Way Visalia CA 93292-2246 | |
| (213) 210-4908 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1404 N Ben Maddox Way, Visalia, California |
| Authorized Official Name and Position | Jihyun Kim (PRESIDENT) |
| Authorized Official Contact | 2132104908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1404 N Ben Maddox Way Visalia CA 93292-2246 Ph: (213) 210-4908 | 1404 N Ben Maddox Way Visalia CA 93292-2246 Ph: (213) 210-4908 |
| NPI Number | 1174848923 |
|---|---|
| Provider Enumeration Date | 04/05/2010 |
| Last Update Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174848923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54163 (California) | Primary |
Todd E Wesslen Dds Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 S Garden St, Visalia, CA 93277 Phone: 559-732-5658 Fax: 559-732-1958 | |
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