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NPI Code Detail

MEDICARE: MAYVIC CONTE DDS

MEDICARE: MAYVIC CONTE DDS
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
1122300000XDentist46772CA

General Provider Information

NPI Number : 1720032378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYVIC CONTE DDS
Provider Business Mailing Address
First Line : 801 W CENTER AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6013
Country : US
Telephone Number : 559-791-7049
Fax Number : 559-734-1247
Provider Business Practice Location Address
First Line : 501 N BRIDGE ST
Second Line :
City : VISALIA
State : CA
Zip : 93291-5014
Country : US
Telephone Number : 559-734-1939
Fax Number : 559-734-4384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 04/29/2011

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Directions to “ MAYVIC CONTE DDS” Practice Location

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