KONGSAB LA HATLAVONGSA

MENDOTA, CA
NPI1366798530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  61581)
Enumeration Date2012-07-25
Last Update Date2014-03-25
Business Address
Dr. KONGSAB LA HATLAVONGSA DDS
121 BARBOZA ST
MENDOTA, CA 93640-1901
Phone number: 559-655-5000
Mailing Address
Dr. KONGSAB LA HATLAVONGSA DDS
3035 N MCARTHUR AVE
FRESNO, CA 93727
Phone number: