Golden Valley Smiles
Dentist in Clovis, CA. Organization (NPI-2).
NPI number1013484971
StatusActive
Last updated in NPPESOct 30, 2018
Details
- NPI
- 1013484971
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Valley Smiles
- Organization subpart
- No
- Enumeration date
- Oct 30, 2018
- Last updated
- Oct 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
1010 Shaw Ave Ste BClovis, CA 93612-3950
Phone 559-323-1776 · Fax 916-384-3844
Mailing address
3075 Beacon BlvdW Sacramento, CA 95691-3462
Phone 916-702-1213
Authorized official
Yan Kalika
Owner
9167021213
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