Maria Lourdes Dimatera Dmd | |
801 N St Sanger CA 93657-3115 | |
(559) 876-1777 | |
(559) 876-2763 |
Full Name | Maria Lourdes Dimatera Dmd |
---|---|
Speciality | Dentist - General Practice |
Location | 801 N St, Sanger, California |
Authorized Official Name and Position | Maria Lourdes Briz Dimatera (OWNER) |
Authorized Official Contact | 5598761777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maria Lourdes Dimatera Dmd 801 N St Sanger CA 93657-3115 Ph: (559) 876-1777 | Maria Lourdes Dimatera Dmd 801 N St Sanger CA 93657-3115 Ph: (559) 876-1777 |
NPI Number | 1699972570 |
---|---|
Provider Enumeration Date | 07/02/2007 |
Last Update Date | 09/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699972570 | NPI | - | NPPES |
44862 | Other | CA | BILLING PROVIDER NUMBER |
G9408101 | Other | CA | DENTICAL BILLING NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 44862 (California) | Primary |
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