| Kaweah Dental | |
|
3648 S Mooney Blvd Visalia CA 93277-8019 | |
| (559) 389-7019 | |
| (559) 389-7021 |
| Full Name | Kaweah Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3648 S Mooney Blvd, Visalia, California |
| Authorized Official Name and Position | Philip H Doan (CEO) |
| Authorized Official Contact | 5593897019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaweah Dental 3648 S Mooney Blvd Visalia CA 93277-8019 Ph: (559) 389-7019 | Kaweah Dental 3648 S Mooney Blvd Visalia CA 93277-8019 Ph: (559) 389-7019 |
| NPI Number | 1225466436 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225466436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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