Home Care Dental | |
618 N Main St Porterville CA 93257-2317 | |
(559) 781-4400 | |
(559) 781-4411 |
Full Name | Home Care Dental |
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Speciality | Dentist - General Practice |
Location | 618 N Main St, Porterville, California |
Authorized Official Name and Position | John Allen Fawson (OWENER) |
Authorized Official Contact | 5597814400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Home Care Dental 618 N Main St Porterville CA 93257-2317 Ph: (559) 781-4400 | Home Care Dental 618 N Main St Porterville CA 93257-2317 Ph: (559) 781-4400 |
NPI Number | 1902017734 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902017734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 23499 (California) | Primary |
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