Healthcare Provider Details

I. General information

NPI: 1194649822
Provider Name (Legal Business Name): VANESSA CERVANTES BSDH, RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 FRANKLIN BLVD
LEMOORE CA
93246-4700
US

IV. Provider business mailing address

1476 MONTEREY AVE
HANFORD CA
93230-6975
US

V. Phone/Fax

Practice location:
  • Phone: 559-998-4220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number38260
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: