Individual
DR. NATHALIE C SELVANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
501 N BRIDGE STREET, VISALIA, CA 93291-5014
(559) 734-1939
(559) 734-4384
Mailing address
305 EAST CENTER AVE., VISALIA, CA 93291-6331
(559) 737-4700
(559) 737-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
54664
CA
1223D0001X
Public Health Dentistry
Primary
54664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54664
LICENSE
CA
Enumeration date
12/06/2006
Last updated
07/30/2013
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