Organization
HAPY BEAR SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WAYNE PIERSON DDS, MPH (CEO)
(559) 732-4279
Entity
Organization
Contact information
Practice address
1979 HILLMAN ST, TULARE, CA 93274-1601
(559) 732-4279
(559) 688-4455
Mailing address
1979 HILLMAN ST, TULARE, CA 93274-1601
(559) 732-4279
(559) 688-4455
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22015
CA
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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