Organization Name: | FELICIA DO DMD INC |
NPI Number: | 1477866648 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FELICIA DO (CEO) |
Mailing Address: | 501 W Kern Ave Mc Farland |
State: | CA US |
Postal Code: | 932501354 |
Phone Number: | 6617923028 |
Fax Number: | 6617923564 |
NPI Enumeration Date: | 07/16/2010 |
NPI Last Update Date: | 07/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 47878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |