| Clovis Orthodontics | |
|
240 W Shaw Ave Ste 110 Clovis CA 93612-3694 | |
| (559) 325-8000 | |
| (559) 325-6989 |
| Full Name | Clovis Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 240 W Shaw Ave Ste 110, Clovis, California |
| Authorized Official Name and Position | Sung Shyn (PRESIDENT) |
| Authorized Official Contact | 5593258000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clovis Orthodontics 240 W Shaw Ave Ste 110 Clovis CA 93612-3694 Ph: (559) 325-8000 | Clovis Orthodontics 240 W Shaw Ave Ste 110 Clovis CA 93612-3694 Ph: (559) 325-8000 |
| NPI Number | 1376120592 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376120592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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