| Maria Lourdes Dimatera Dmd | |
|
801 N St Sanger CA 93657-3115 | |
| (559) 876-1777 | |
| (559) 876-2763 |
| Full Name | Maria Lourdes Dimatera Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 N St, Sanger, California |
| Authorized Official Name and Position | Maria Lourdes Briz Dimatera (OWNER) |
| Authorized Official Contact | 5598761777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Lourdes Dimatera Dmd 801 N St Sanger CA 93657-3115 Ph: (559) 876-1777 | Maria Lourdes Dimatera Dmd 801 N St Sanger CA 93657-3115 Ph: (559) 876-1777 |
| NPI Number | 1699972570 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699972570 | NPI | - | NPPES |
| 44862 | Other | CA | BILLING PROVIDER NUMBER |
| G9408101 | Other | CA | DENTICAL BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44862 (California) | Primary |
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