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Organization
PHILIP P CORNELIUSON DDS INC
Active
Organization
PHILIP P CORNELIUSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP P CORNELIUSON DDS (PRESIDENT OWNER)
(559) 261-0185
Entity
Organization
Contact information
Practice address
5475 N FRESNO ST, SUITE 103, FRESNO, CA 93710
(559) 261-0185
(559) 261-2386
Mailing address
5475 N FRESNO ST, SUITE 103, FRESNO, CA 93710
(559) 261-0185
(559) 261-2386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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