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Organization
VATCHE WASSILIAN DDS APDC
Active
Organization
VATCHE WASSILIAN DDS APDC
Active
Other names
Loma Vista Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VATCHE SARKIS WASSILIAN DDS (OWNER)
(559) 323-7777
Entity
Organization
Contact information
Practice address
1504 SHAW AVE, CLOVIS, CA 93611-4028
(559) 323-7777
(559) 323-7776
Mailing address
1504 SHAW AVE, CLOVIS, CA 93611-4028
(559) 323-7777
(559) 323-7776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58255
CA
1223P0221X
Pediatric Dentistry
58255
CA
Other
Enumeration date
04/10/2012
Last updated
04/12/2012
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