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Organization
TIMOTHY PREWITT DDS INC
Active
Organization
TIMOTHY PREWITT DDS INC
Active
Other names
Prewitt Dental Ranchos
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EDWARD PREWITT DDS (CEO)
(559) 960-4878
Entity
Organization
Contact information
Practice address
37144 AVENUE 12 STE 104, MADERA, CA 93636-8709
(559) 645-5320
Mailing address
1615 7TH ST, SANGER, CA 93657-2801
(559) 875-3927
(559) 875-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/19/2024
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