Healthcare Provider Details

I. General information

NPI: 1366613218
Provider Name (Legal Business Name): CESAR CLARIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113A HIGHWAY 49
SAN ANDREAS CA
95249-9583
US

IV. Provider business mailing address

737 W CHILDS AVE
MERCED CA
95341-6805
US

V. Phone/Fax

Practice location:
  • Phone: 209-755-1460
  • Fax:
Mailing address:
  • Phone: 209-384-6493
  • Fax: 209-383-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number56723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: