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Organization

CALIFORNIA KIDDS PEDIATRIC DENTISTRY, A DENTAL PRACTICE OF EVANS, KUNK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY EVANS DDS (OWNER)
(559) 367-9459
Entity
Organization

Contact information

Practice address
1168 OLIVEWOOD DR, MERCED, CA 95348-1210
(559) 439-5300
Mailing address
1900 SHAW AVE STE 101, CLOVIS, CA 93611-4209
(559) 439-5300

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
05/11/2021
Last updated
05/11/2021
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