| C I Dental Office | |
|
609 W Acequia Dr Suite D Visalia CA 93291 | |
| (559) 625-2040 | |
| (559) 625-2797 |
| Full Name | C I Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 609 W Acequia Dr, Visalia, California |
| Authorized Official Name and Position | Christi Ana Iliuta (OWNER) |
| Authorized Official Contact | 5596252040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C I Dental Office 609 W Acequia Dr Suite D Visalia CA 93291 Ph: (559) 625-2040 | C I Dental Office 609 W Acequia Dr Suite D Visalia CA 93291 Ph: (559) 625-2040 |
| NPI Number | 1790991974 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790991974 | NPI | - | NPPES |
| G9205501 | Other | CA | MEDICAL |
| D41621 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D41621 (California) | Secondary |
| 122300000X | Dentist | G9205501 (California) | Primary |
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