| Ismile Dental Practice | |
|
255 W Bullard Ave Ste 119 Clovis CA 93612-0861 | |
| (559) 628-2255 | |
| Not Available |
| Full Name | Ismile Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 W Bullard Ave Ste 119, Clovis, California |
| Authorized Official Name and Position | Rajdeep Kaur (OWNER) |
| Authorized Official Contact | 5597536949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Dental Practice Po Box 2098 Clovis CA 93613-2098 Ph: (559) 628-2255 | Ismile Dental Practice 255 W Bullard Ave Ste 119 Clovis CA 93612-0861 Ph: (559) 628-2255 |
| NPI Number | 1821934282 |
|---|---|
| Provider Enumeration Date | 04/28/2026 |
| Last Update Date | 07/08/2026 |
| Certification Date | 07/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821934282 | NPI | - | NPPES |
| 100355339 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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