| Clovis Crossing Dental Group | |
|
1095 Herndon Ave 102 Clovis CA 93612-0504 | |
| (559) 326-5270 | |
| (559) 326-5271 |
| Full Name | Clovis Crossing Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1095 Herndon Ave, Clovis, California |
| Authorized Official Name and Position | Carolyn G Ghazal (OWNER DOCTOR) |
| Authorized Official Contact | 5593265270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clovis Crossing Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Clovis Crossing Dental Group 1095 Herndon Ave 102 Clovis CA 93612-0504 Ph: (559) 326-5270 |
| NPI Number | 1346665122 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346665122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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