| Megan Fulmer Ide Dds And Shirley T Lei Dds | |
|
1045 N Demaree St Visalia CA 93291-4119 | |
| (559) 625-2744 | |
| Not Available |
| Full Name | Megan Fulmer Ide Dds And Shirley T Lei Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1045 N Demaree St, Visalia, California |
| Authorized Official Name and Position | Megan Ide (DENTIST) |
| Authorized Official Contact | 5596252744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Fulmer Ide Dds And Shirley T Lei Dds 1045 N Demaree St Visalia CA 93291-4119 Ph: (559) 625-2744 | Megan Fulmer Ide Dds And Shirley T Lei Dds 1045 N Demaree St Visalia CA 93291-4119 Ph: (559) 625-2744 |
| NPI Number | 1306199260 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306199260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54890 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 44678 (California) | Primary |
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