| Diciccio Freeman Orthodontics | |
|
2127 Herndon Ave Ste 101 Clovis CA 93611-6303 | |
| (559) 325-3300 | |
| Not Available |
| Full Name | Diciccio Freeman Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2127 Herndon Ave Ste 101, Clovis, California |
| Authorized Official Name and Position | David Freeman (PARTNER) |
| Authorized Official Contact | 5593253300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diciccio Freeman Orthodontics 2127 Herndon Ave Ste 101 Clovis CA 93611-6303 Ph: () - | Diciccio Freeman Orthodontics 2127 Herndon Ave Ste 101 Clovis CA 93611-6303 Ph: (559) 325-3300 |
| NPI Number | 1902464175 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902464175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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