Organization
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
136 ASPEN COURT, SUITE A, VISALIA, CA 93291
(559) 625-9300
(559) 625-9330
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23135
CA
Other
Enumeration date
02/05/2010
Last updated
01/27/2025
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