| Havens Orthodontics, Inc. | |
|
7429 N 1st St Ste 101 Fresno CA 93720-2852 | |
| (559) 448-9870 | |
| (559) 490-4510 |
| Full Name | Havens Orthodontics, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7429 N 1st St Ste 101, Fresno, California |
| Authorized Official Name and Position | Bruce A. Havens (OWNER) |
| Authorized Official Contact | 5594489870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havens Orthodontics, Inc. 7429 N 1st St Ste 101 Fresno CA 93720-2852 Ph: (559) 448-9870 | Havens Orthodontics, Inc. 7429 N 1st St Ste 101 Fresno CA 93720-2852 Ph: (559) 448-9870 |
| NPI Number | 1396997979 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396997979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 46188 (California) | Primary |
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