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Organization
KAOU HALLAK DENTAL CORP
Active
Organization
KAOU HALLAK DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED KAOU DDS (OWNER)
(559) 577-7828
Entity
Organization
Contact information
Practice address
1550 SHAW AVE, CLOVIS, CA 93611-4028
(559) 577-7828
Mailing address
1550 SHAW AVE, CLOVIS, CA 93611-4028
(559) 577-7828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61030
CA
Other
Enumeration date
07/09/2015
Last updated
07/13/2015
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