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DR. GILMAR FATIMA D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1396765319

Individual Registrant:
DR. GILMAR  FATIMA D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
36654 SOUTH LASSEN AVENUE  HURON, CA 93234-1989 US
Tel: 559-945-7001  Fax: 559-945-7001

Contact information for business:
PO BOX 1989  HURON, CA 93234-1989 US
Tel: 559-945-7001  Fax: 559-945-7001

Registration Information:
NPI: 1396765319
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA41912-01

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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