| NPI | 1336533959 |
|---|---|
| Doing Business As | VISALIA MODERN DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CAROLYN G GHAZAL Owner 559-334-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |