Individual
DR. MARIA SHEU KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1705 N FINE AVE, STE. 102, FRESNO, CA 93727
(559) 840-1082
(909) 558-0106
Mailing address
1865 HERNDON AVE, STE. K-245, CLOVIS, CA 93611
(909) 558-4611
(909) 558-0106
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41787
DENTAL LICENSE
CA
Enumeration date
12/28/2006
Last updated
07/02/2020
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