| NPI | 1376120592 |
|---|---|
| Doing Business As | CLOVIS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SUNG SHYN President 559-325-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-25 |