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Organization
ELLIE J. ZUIDERVELD
Active
Organization
ELLIE J. ZUIDERVELD
Active
Other names
The Children's Dental Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIE JEANETTE ZUIDERVELD D.D.S. (OWNER)
(559) 625-9300
Entity
Organization
Contact information
Practice address
136 S ASPEN CT, VISALIA, CA 93291-5175
(559) 625-9300
(559) 625-9330
Mailing address
136 S ASPEN CT, VISALIA, CA 93291-5175
(559) 625-9300
(559) 625-9330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46451
CA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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