Organization
DINUBA OPTOMETRIC CENTER INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES THAI OD (SOLE OWNER / PRESIDENT)
(909) 694-9446
Entity
Organization
Contact information
Practice address
119 S L ST, DINUBA, CA 93618-2324
(559) 591-4656
(559) 591-4090
Mailing address
4384 E ASHLAN AVE STE 107, FRESNO, CA 93726-2600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
03/18/2021
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