| Madera Family Dentistry | |
|
509 S I St Suite D Madera CA 93637-4660 | |
| (559) 662-1410 | |
| (550) 662-1454 |
| Full Name | Madera Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 S I St, Madera, California |
| Authorized Official Name and Position | Armando Quiroz Anguiano (OWNER) |
| Authorized Official Contact | 5596621410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madera Family Dentistry 509 S I St Suite D Madera CA 93637-4660 Ph: (559) 662-1410 | Madera Family Dentistry 509 S I St Suite D Madera CA 93637-4660 Ph: (559) 662-1410 |
| NPI Number | 1477764256 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477764256 | NPI | - | NPPES |
| 1326254400 | Other | CA | NATIONAL PROVIDER # |
| 515277 | Other | CA | PROVIDER ID# |
| B40331 | Other | CA | PROVIDER# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40331 (California) | Primary |
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