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Organization
S MAVI,D.D.S., INCORPORATED
Active
Organization
S MAVI,D.D.S., INCORPORATED
Active
Other names
Ashlan Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
VARINDER PANNU DDS (VICE PRESIDENT)
(206) 225-9296
Entity
Organization
Contact information
Practice address
4007 N MARKS AVE STE 102, FRESNO, CA 93722-4555
(559) 225-5800
Mailing address
4007 N MARKS AVE STE 102, FRESNO, CA 93722-4555
(559) 225-5800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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