| Hawkeye Family Dental Practice | |
|
711 E Hawkeye Ave Suite 2 Turlock CA 95380-7505 | |
| (209) 632-2082 | |
| (209) 632-2357 |
| Full Name | Hawkeye Family Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 711 E Hawkeye Ave, Turlock, California |
| Authorized Official Name and Position | Gladys Kwamboka Gesicho (DIRECTOR) |
| Authorized Official Contact | 2096322082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawkeye Family Dental Practice 711 E Hawkeye Ave Suite 2 Turlock CA 95380-7505 Ph: (209) 632-2082 | Hawkeye Family Dental Practice 711 E Hawkeye Ave Suite 2 Turlock CA 95380-7505 Ph: (209) 632-2082 |
| NPI Number | 1922421379 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922421379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46801 (California) | Primary |
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