Organization
MADERA KIDS DENTAL WORLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADEZHDA SARGSYAN DDS (PRESIDENT)
(559) 273-4696
Entity
Organization
Contact information
Practice address
2295 W CLEVELAND AVE STE D, MADERA, CA 93637-8723
(559) 273-4696
Mailing address
2295 W CLEVELAND AVE STE D, MADERA, CA 93637-8723
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
55210
CA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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