| Clovis Dental | |
|
1420 Shaw Ave Ste 101 Clovis CA 93611-4072 | |
| (559) 299-9008 | |
| Not Available |
| Full Name | Clovis Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1420 Shaw Ave Ste 101, Clovis, California |
| Authorized Official Name and Position | Erick N Cuenca (OWNER) |
| Authorized Official Contact | 5592999008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clovis Dental 1420 Shaw Ave Ste 101 Clovis CA 93611-4072 Ph: (559) 299-9008 | Clovis Dental 1420 Shaw Ave Ste 101 Clovis CA 93611-4072 Ph: (559) 299-9008 |
| NPI Number | 1568671519 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568671519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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