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Organization
MADERA FAMILY DENTISTRY
Active
Organization
MADERA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMANDO QUIROZ ANGUIANO D.D.S. (OWNER)
(559) 662-1410
Entity
Organization
Contact information
Practice address
509 S I ST, SUITE D, MADERA, CA 93637-4660
(559) 662-1410
(550) 662-1454
Mailing address
509 S I ST, SUITE D, MADERA, CA 93637-4660
(559) 662-1410
(550) 662-1454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326254400
NATIONAL PROVIDER #
CA
01
—
515277
PROVIDER ID#
CA
01
—
B40331
PROVIDER#
CA
Enumeration date
05/24/2007
Last updated
08/13/2008
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