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Children'S Dentistry Of Visalia A Dental Office Of Stephen O'Hara, DDS

Dentist in Visalia, CA. Organization (NPI-2).

NPI number1962070698
StatusActive
Last updated in NPPESJun 17, 2021

Details

NPI
1962070698
Entity type
Organization (NPI-2)
Legal business name
Children'S Dentistry Of Visalia A Dental Office Of Stephen O'Hara, DDS
Organization subpart
No
Enumeration date
Jun 17, 2021
Certification date
Jun 17, 2021
Last updated
Jun 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

1941 N Dinuba Blvd Ste A
Visalia, CA 93291-3011

Phone 559-554-9999

Mailing address

1900 Shaw Ave Ste 101
Clovis, CA 93611-4209

Phone 559-439-5300

Authorized official

Stephen O'Hara
Owner/President
5595549999

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