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DR. GARY DOMINICK SCHOUEST D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1093851966
Individual Registrant:DR. GARY DOMINICK SCHOUEST D.D.S.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
476 E. WASHINGTON AVE. EARLIMART, CA 93219 US
Tel: 661-849-2638 Fax: --
Tel: 661-849-2638 Fax: --
Contact information for business:
850 W VICTOR AVE VISALIA, CA 93277-7449 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1093851966
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 27482 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
