Organization
CHILDREN'S DENTISTRY OF MADERA A DENTAL OFFICE OF STEPHEN O'HARA, DDS,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN O'HARA DDS (OWNER/PRESIDENT)
(559) 554-9999
Entity
Organization
Contact information
Practice address
2370 W CLEVELAND AVE STE 104, MADERA, CA 93637-8742
(559) 554-9999
Mailing address
1900 SHAW AVE STE 101, CLOVIS, CA 93611-4209
(559) 439-5300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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