Organization
HAVENS ORTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A. HAVENS D.D.S., PH.D. (OWNER)
(559) 448-9870
Entity
Organization
Contact information
Practice address
7429 N 1ST ST STE 101, FRESNO, CA 93720-2852
(559) 448-9870
(559) 490-4510
Mailing address
7429 N 1ST ST STE 101, FRESNO, CA 93720-2852
(559) 448-9870
(559) 490-4510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
46188
CA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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