| Dr Kongsab La Hatlavongsa, DDS | |
|
121 Barboza St, Mendota, CA 93640-1901 | |
| (559) 655-5000 | |
| Not Available |
| Full Name | Dr Kongsab La Hatlavongsa |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 121 Barboza St, Mendota, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366798530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61581 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kongsab La Hatlavongsa, DDS 3035 N Mcarthur Ave, Fresno, CA 93727 Ph: () - | Dr Kongsab La Hatlavongsa, DDS 121 Barboza St, Mendota, CA 93640-1901 Ph: (559) 655-5000 |
Bum Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 121 Barboza St, Mendota, CA 93640 Phone: 559-655-5000 Fax: 559-655-6817 | |
Dr. Mirtha Johanna Yabar Tello I, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 121 Barboza St, Mendota, CA 93640 Phone: 800-492-4227 | |
Trang M Nguyen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 33500 W California Ave, Mendota, CA 93640 Phone: 559-274-4155 | |
Dr. Anshumi Shah, Dentist Medicare: Medicare Enrolled Practice Location: 121 Barboza St, Mendota, CA 93640 Phone: 424-350-1644 | |
Ravleen Kaur Gill, Dentist Medicare: Not Enrolled in Medicare Practice Location: 119 Barboza Street, Mendota, CA 93640 Phone: 800-492-4227 | |
Gayathri Parameswaran Iyer, Dentist Medicare: Medicare Enrolled Practice Location: United Health Centers, 121 Barboza St, Mendota, CA 93640 Phone: 559-655-5000 |