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Organization
PRIETO DENTAL CORPORATION
Active
Organization
PRIETO DENTAL CORPORATION
Active
Other names
Clovis Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA PRIETO DDS (OWNER)
(559) 472-9978
Entity
Organization
Contact information
Practice address
2320 CLOVIS AVENUE, SUITE 102, CLOVIS, CA 93612
(559) 472-9978
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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