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Organization
MICHAEL T. BODENSTEINER D.D. S. INC.
Active
Organization
MICHAEL T. BODENSTEINER D.D. S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI WELCH (CREDENTIALING SPECIALIST)
(512) 925-0655
Entity
Organization
Contact information
Practice address
4148 S DEMAREE ST, VISALIA, CA 93277-9514
(559) 635-0900
Mailing address
4148 S DEMAREE ST, VISALIA, CA 93277-9514
(559) 635-0900
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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