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Organization
JOHN ALLEN FAWSON
Active
Organization
JOHN ALLEN FAWSON
Active
Other names
Home Care Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN FAWSON D.D.S (OWENER)
(559) 781-4400
Entity
Organization
Contact information
Practice address
618 N MAIN ST, PORTERVILLE, CA 93257-2317
(559) 781-4400
(559) 781-4411
Mailing address
618 N MAIN ST, PORTERVILLE, CA 93257-2317
(559) 781-4400
(559) 781-4411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23499
CA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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