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Organization
DIANA CORREAVELOSA DDS INC
Active
Organization
DIANA CORREAVELOSA DDS INC
Active
Other names
Crystal Dental of Fresno
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO F VELOSA (DIRECTOR)
(559) 435-3444
Entity
Organization
Contact information
Practice address
7614 N FRESNO ST STE 105, FRESNO, CA 93720-7406
(559) 435-3344
(559) 435-6658
Mailing address
7614 N FRESNO ST STE 105, FRESNO, CA 93720-7406
(559) 435-3344
(559) 435-6658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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