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Organization
PREWITT DENTAL GROUP INC
Active
Organization
PREWITT DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY EDWARD PREWITT DDS (DIRECTOR)
(559) 875-3927
Entity
Organization
Contact information
Practice address
1615 7TH ST, SANGER, CA 93657-2801
(559) 875-3927
Mailing address
1615 7TH ST, SANGER, CA 93657-2801
(559) 875-3927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
101941
CA
122300000X
Dentist
Primary
52566
CA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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