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Organization
POCASANGRE OLIVA DENTAL CORP.
Active
Organization
POCASANGRE OLIVA DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA CAROLINA POCASANGRE D.D.S. (DENTIST)
(559) 331-4506
Entity
Organization
Contact information
Practice address
1823 SHAW AVE STE 104, CLOVIS, CA 93611-4066
(559) 765-4524
Mailing address
1823 SHAW AVE STE 104, CLOVIS, CA 93611-4066
(559) 765-4524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54299
CA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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