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Organization
SOUTH VALLEY DERMATOLOGY AND COSMETIC LASER CENTER INC
Active
Organization
SOUTH VALLEY DERMATOLOGY AND COSMETIC LASER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D NGUYEN M.D. (PRESIDENT)
(559) 582-4510
Entity
Organization
Contact information
Practice address
740 N IRWIN ST, HANFORD, CA 93230-3814
(559) 582-4510
(559) 583-6062
Mailing address
740 N IRWIN ST, HANFORD, CA 93230-3814
(559) 582-4510
(559) 583-6062
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A80452
CA
Other
Enumeration date
09/29/2011
Last updated
12/21/2011
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