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Organization
MILLER SKINNER DASTRUP AND BOGLE DENTAL CORPORATION OF CLORIS
Active
Organization
MILLER SKINNER DASTRUP AND BOGLE DENTAL CORPORATION OF CLORIS
Active
Parent organization
MILLER SKINNER DASTRUP AND BOGLE DENTAL CORPORATION OF CLORIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLER SKINNER DASTRUP AND BOGLE DENTAL CORPORATION OF CLORIS
Authorized official
JEREMY SKINNER D.D.S (DOCTOR/OWNER)
(480) 399-3588
Entity
Organization
Contact information
Practice address
290 SHAW AVE, STE. #C, CLOVIS, CA 93612
(559) 298-3024
(559) 298-3026
Mailing address
290 SHAW AVE, STE. #C, CLOVIS, CA 93612
(559) 298-3024
(559) 298-3026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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