# CENTRAL VALLEY DENTAL IMPLANT & ORAL SURGERY INSTITUTE II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154199404
- **Authorized official:** DR. SPENCER JAMES ANDERSON DDS (PARTNER)
- **Authorized official phone:** (559) 732-7946

## Contact information

- **Practice address:** 1116 N CHINOWTH ST, VISALIA, CA 93291-7896
- **Practice address phone:** (559) 732-7946
- **Practice address fax:** (559) 732-9621
- **Mailing address:** PO BOX 7239, VISALIA, CA 93290-7239
- **Mailing address phone:** (559) 732-7946
- **Mailing address fax:** (559) 732-9621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2023
- **Last updated:** 12/15/2023