Individual
DR. JAMES STEVEN SUPANCIC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.D.
Contact information
Practice address
2748 W MAIN ST, VISALIA, CA 93291-4332
(559) 625-9770
(559) 625-9774
Mailing address
2748 W MAIN ST, VISALIA, CA 93291-4332
(559) 625-9770
(559) 625-9774
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
36700
CA
Other
Enumeration date
06/26/2006
Last updated
08/12/2020
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