Organization
MICHAEL T. BODENSTEINER D.D. S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI WELCH (CREDENTIALING SPECIALIST)
(512) 925-0655
Entity
Organization
Contact information
Practice address
4148 S DEMAREE ST, VISALIA, CA 93277-9514
(559) 635-0900
Mailing address
4148 S DEMAREE ST, VISALIA, CA 93277-9514
(559) 635-0900
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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