| Philip P Corneliuson Dds Inc | |
|
5475 N Fresno St Suite 103 Fresno CA 93710 | |
| (559) 261-0185 | |
| (559) 261-2386 |
| Full Name | Philip P Corneliuson Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5475 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Philip P Corneliuson (PRESIDENT OWNER) |
| Authorized Official Contact | 5592610185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip P Corneliuson Dds Inc 5475 N Fresno St Suite 103 Fresno CA 93710 Ph: (559) 261-0185 | Philip P Corneliuson Dds Inc 5475 N Fresno St Suite 103 Fresno CA 93710 Ph: (559) 261-0185 |
| NPI Number | 1205914470 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205914470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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