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Organization

K RAFISOLYMAN DDS INC

Active
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Organization

K RAFISOLYMAN DDS INC

Active
Other names
LEMOORE DENTAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARMELL RAFISOLYMAN D.D.S. (PRESIDENT)
(559) 924-7000
Entity
Organization

Contact information

Practice address
353 C ST, LEMOORE, CA 93245-2931
(559) 924-7000
(559) 924-6351
Mailing address
353 C ST, LEMOORE, CA 93245-2931
(559) 924-7000
(559) 924-6351

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47997
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1355602
UNITED CONCORDIA
CA
01
47997
DELTA DENTAL
CA
05
G92364-01
CA
Enumeration date
12/27/2006
Last updated
08/22/2020
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