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NPI Code Detail

MEDICARE: ROCIO ESTREMADOYRO DENTAL CORPORATION

MEDICARE: ROCIO ESTREMADOYRO DENTAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1306521851
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCIO ESTREMADOYRO DENTAL CORPORATION
Provider Business Mailing Address
First Line : 3244 QUINCY AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93619-8120
Country : US
Telephone Number : 818-510-6458
Fax Number :
Provider Business Practice Location Address
First Line : 6425 N PALM AVE STE 105
Second Line :
City : FRESNO
State : CA
Zip : 93704-1084
Country : US
Telephone Number : 559-439-6425
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : RACHELLE L CARTWRIGHT
Credential :
Telephone Number : 360-949-2949
Provider Enumeration Date : 06/21/2023
Last Update Date : 06/21/2023

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Directions to “ROCIO ESTREMADOYRO DENTAL CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.