| Clovis Modern Dentistry | |
|
2320 Clovis Avenue Suite 102 Clovis CA 93612 | |
| (559) 472-9978 | |
| (559) 540-2438 |
| Full Name | Clovis Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2320 Clovis Avenue, Clovis, California |
| Authorized Official Name and Position | Jose P. Rigor (OWNER) |
| Authorized Official Contact | 5594729978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clovis Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Clovis Modern Dentistry 2320 Clovis Avenue Suite 102 Clovis CA 93612 Ph: (559) 472-9978 |
| NPI Number | 1720611486 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720611486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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