NPI | 1720611486 |
---|---|
Doing Business As | CLOVIS MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSE P. RIGOR Owner 559-472-9978 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-02-20 |
Last Update Date | 2022-02-04 |