| NPI | 1235778002 |
|---|---|
| Doing Business As | CLOVIS MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HILDA PRIETO Owner 559-472-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |