Organization
CENTRAL VALLEY DENTAL IMPLANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY R WOOD DDS (PARTNER)
(559) 732-7946
Entity
Organization
Contact information
Practice address
1116 N. CHINOWTH RD, VISALIA, CA 93291
(559) 732-7946
(559) 732-9621
Mailing address
1116 N. CHINOWTH RD, VISALIA, CA 93291
(559) 732-7946
(559) 732-9621
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24419
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
25102
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
34589
CA
Other
Enumeration date
06/16/2005
Last updated
08/22/2020
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