Healthcare Provider Details

I. General information

NPI: 1265618508
Provider Name (Legal Business Name): DAWN Z POWER DENTAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E ALMOND AVE STE 102
MADERA CA
93637-5694
US

IV. Provider business mailing address

950 E ALMOND AVE STE 102
MADERA CA
93637-5694
US

V. Phone/Fax

Practice location:
  • Phone: 559-675-3262
  • Fax:
Mailing address:
  • Phone: 559-675-3262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number48072
License Number StateCA

VIII. Authorized Official

Name: DR. DAWN Z POWER
Title or Position: PRESIDENT
Credential: DDS
Phone: 559-675-3262