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Organization
MYRIAM M DEFAY DDS INC.
Active
Organization
MYRIAM M DEFAY DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM MERCEDES DEFAY D.D.S. (PRESIDENT)
(559) 447-9091
Entity
Organization
Contact information
Practice address
2665 ALABAMA ST, ATWATER, CA 95301-2908
(209) 358-1577
Mailing address
644 E UTAH AVE, FRESNO, CA 93720-1744
(559) 447-9091
(559) 447-9091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52977
CA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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