Individual
ANDREW CARRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
615 BARSTOW AVE, CLOVIS, CA 93612-2230
(559) 314-2408
Mailing address
2497 HERNDON AVE STE 104, CLOVIS, CA 93611-8977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30025261
OH
1223P0221X
Pediatric Dentistry
Primary
108198
CA
1223P0221X
Pediatric Dentistry
30025261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274181
—
OH
Enumeration date
02/07/2017
Last updated
06/05/2025
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