Dental Group Of Clovis | |
200 W Shaw Ave Suite 110 Clovis CA 93612-3684 | |
(559) 325-6161 | |
(559) 325-6166 |
Full Name | Dental Group Of Clovis |
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Speciality | Dentist - General Practice |
Location | 200 W Shaw Ave, Clovis, California |
Authorized Official Name and Position | Farid Pakravan (OWNER) |
Authorized Official Contact | 5593256161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Group Of Clovis 200 W Shaw Ave Suite 110 Clovis CA 93612-3684 Ph: (559) 325-6161 | Dental Group Of Clovis 200 W Shaw Ave Suite 110 Clovis CA 93612-3684 Ph: (559) 325-6161 |
NPI Number | 1508089889 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508089889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 39862 (California) | Primary |
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