Organization
KILMER AND COSTANZO A GENERAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J RODRIGUEZ (OFFICE MANAGER)
(559) 435-5033
Entity
Organization
Contact information
Practice address
6307 N FRESNO ST, STE 101, FRESNO, CA 93710
(559) 435-5033
(559) 435-5048
Mailing address
6307 N FRESNO ST, STE 101, FRESNO, CA 93710
(559) 435-5033
(559) 435-5048
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
234622
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
50234
CA
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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