Kaou Hallak Dental Corp | |
1550 Shaw Ave Clovis CA 93611-4028 | |
(559) 577-7828 | |
Not Available |
Full Name | Kaou Hallak Dental Corp |
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Speciality | Dentist |
Location | 1550 Shaw Ave, Clovis, California |
Authorized Official Name and Position | Mohamed Kaou (OWNER) |
Authorized Official Contact | 5595777828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kaou Hallak Dental Corp 1550 Shaw Ave Clovis CA 93611-4028 Ph: (559) 577-7828 | Kaou Hallak Dental Corp 1550 Shaw Ave Clovis CA 93611-4028 Ph: (559) 577-7828 |
NPI Number | 1629452560 |
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Provider Enumeration Date | 07/09/2015 |
Last Update Date | 07/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629452560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 61030 (California) | Primary |
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