| Pocasangre Oliva Dental Corp. | |
|
1823 Shaw Ave Ste 104 Clovis CA 93611-4066 | |
| (559) 765-4524 | |
| Not Available |
| Full Name | Pocasangre Oliva Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1823 Shaw Ave Ste 104, Clovis, California |
| Authorized Official Name and Position | Victoria Carolina Pocasangre (DENTIST) |
| Authorized Official Contact | 5593314506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocasangre Oliva Dental Corp. 1823 Shaw Ave Ste 104 Clovis CA 93611-4066 Ph: (559) 765-4524 | Pocasangre Oliva Dental Corp. 1823 Shaw Ave Ste 104 Clovis CA 93611-4066 Ph: (559) 765-4524 |
| NPI Number | 1063714939 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063714939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54299 (California) | Primary |
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