| Exeter Family Dentistry | |
|
136 N C St Exeter CA 93221-1805 | |
| (559) 592-9017 | |
| Not Available |
| Full Name | Exeter Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 136 N C St, Exeter, California |
| Authorized Official Name and Position | Ali Agahi (OWNER) |
| Authorized Official Contact | 5595929017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exeter Family Dentistry 136 N C St Exeter CA 93221-1805 Ph: (559) 592-9017 | Exeter Family Dentistry 136 N C St Exeter CA 93221-1805 Ph: (559) 592-9017 |
| NPI Number | 1376719435 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376719435 | NPI | - | NPPES |
| B35587-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35587 (California) | Primary |
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