Diana Correavelosa DDS INC
NPI #1104381110 in Fresno, California
Provider Information
- NPI Number
- 1104381110
- Entity Type
- Organization
- Organization Name
- Diana Correavelosa DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 4, 2019
- Last Updated
- Feb 4, 2019
Practice Location
- Address
- 7614 N FRESNO ST STE 105
- City
- Fresno
- State
- California
- ZIP Code
- 93720-7406
- Phone
- (559) 435-3344
Authorized Official
- Name
- DIEGO F VELOSA
- Title
- DIRECTOR
- Phone
- (559) 435-3444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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