Myriam M Defay Dds Inc. | |
2665 Alabama St Atwater CA 95301-2908 | |
(209) 358-1577 | |
Not Available |
Full Name | Myriam M Defay Dds Inc. |
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Speciality | Dentist - General Practice |
Location | 2665 Alabama St, Atwater, California |
Authorized Official Name and Position | Myriam Mercedes Defay (PRESIDENT) |
Authorized Official Contact | 5594479091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Myriam M Defay Dds Inc. 644 E Utah Ave Fresno CA 93720-1744 Ph: (559) 447-9091 | Myriam M Defay Dds Inc. 2665 Alabama St Atwater CA 95301-2908 Ph: (209) 358-1577 |
NPI Number | 1750651519 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 01/10/2012 |
Identifier | Type | State | Issuer |
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1750651519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 52977 (California) | Primary |
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