Individual
DIANA CRISTINA CORREA-VELOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7614 N. FRESNO STREET, SUITE 105, FRESNO, CA 93720
(559) 435-3344
(559) 435-3344
Mailing address
7614 N. FRESNO STREET, STE. 105, FRESNO, CA 93720
(559) 435-3344
(559) 435-6658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56250
CA
1223G0001X
General Practice Dentistry
56250
CA
Other
Enumeration date
08/31/2007
Last updated
10/08/2018
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