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Organization
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC
Active
Organization
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
136 ASPEN COURT, SUITE A, VISALIA, CA 93291
(559) 625-9300
(559) 625-9330
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23135
CA
Other
Enumeration date
02/05/2010
Last updated
01/27/2025
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