Individual
DR. ADELHEID NERISA LIMANSUBROTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1104 N CHINOWTH ST, VISALIA, CA 93291-4113
(559) 625-9043
Mailing address
2857 S LOVERS LN APT E, VISALIA, CA 93292-3385
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
104987
CA
Other
Enumeration date
07/19/2020
Last updated
07/19/2020
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