| Diana Correavelosa Dds Inc | |
|
7614 N Fresno St Ste 105 Fresno CA 93720-7406 | |
| (559) 435-3344 | |
| (559) 435-6658 |
| Full Name | Diana Correavelosa Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7614 N Fresno St Ste 105, Fresno, California |
| Authorized Official Name and Position | Diego F Velosa (DIRECTOR) |
| Authorized Official Contact | 5594353444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Correavelosa Dds Inc 7614 N Fresno St Ste 105 Fresno CA 93720-7406 Ph: (559) 435-3344 | Diana Correavelosa Dds Inc 7614 N Fresno St Ste 105 Fresno CA 93720-7406 Ph: (559) 435-3344 |
| NPI Number | 1104381110 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104381110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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