| Lovik Mirzaeian Dds Inc., | |
|
1592 Shaw Ave Clovis CA 93611-4028 | |
| (559) 299-2168 | |
| Not Available |
| Full Name | Lovik Mirzaeian Dds Inc., |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1592 Shaw Ave, Clovis, California |
| Authorized Official Name and Position | Vida Tamayo (PRACTICE MANAGER) |
| Authorized Official Contact | 5592992168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovik Mirzaeian Dds Inc., 1592 Shaw Ave Clovis CA 93611-4028 Ph: (559) 299-2168 | Lovik Mirzaeian Dds Inc., 1592 Shaw Ave Clovis CA 93611-4028 Ph: (559) 299-2168 |
| NPI Number | 1063023158 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063023158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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