| Christopher J Audino Dds & Dallen L Phillips Dds, Inc. | |
|
1134 N Chinowth St Visalia CA 93291-7896 | |
| (559) 732-3977 | |
| (559) 732-6108 |
| Full Name | Christopher J Audino Dds & Dallen L Phillips Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1134 N Chinowth St, Visalia, California |
| Authorized Official Name and Position | Dallen Phillips (EXECUTIVE OFFICER) |
| Authorized Official Contact | 5597323977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher J Audino Dds & Dallen L Phillips Dds, Inc. 1134 N Chinowth St Visalia CA 93291-7896 Ph: (559) 732-3977 | Christopher J Audino Dds & Dallen L Phillips Dds, Inc. 1134 N Chinowth St Visalia CA 93291-7896 Ph: (559) 732-3977 |
| NPI Number | 1255685061 |
|---|---|
| Provider Enumeration Date | 10/31/2012 |
| Last Update Date | 10/31/2012 |
| Medicare PECOS PAC ID | 5698055473 |
|---|---|
| Medicare Enrollment ID | O20161214000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255685061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28844 (California) | Primary |
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