Organization
DELIVERING SMILES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHODA GONZALES (OWNER)
(559) 960-2232
Entity
Organization
Contact information
Practice address
202 W RIVERRIDGE AVE, FRESNO, CA 93711-6958
(559) 960-2232
(559) 431-4349
Mailing address
PO BOX 27011, FRESNO, CA 93729-7011
(559) 960-2232
(559) 431-4349
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
125K00000X
Advanced Practice Dental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700021094
—
CA
Enumeration date
06/18/2020
Last updated
09/16/2020
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