Healthy Smiles Mobile Dental Foundation
NPI #1235291568 in Fresno, California
Provider Information
- NPI Number
- 1235291568
- Entity Type
- Organization
- Organization Name
- Healthy Smiles Mobile Dental Foundation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Aug 17, 2020
Practice Location
- Address
- 2045 N DOWER AVE
- City
- Fresno
- State
- California
- ZIP Code
- 93723-9503
- Phone
- (559) 229-6437
Authorized Official
- Name
- MRS. SUSAN KODAMA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (559) 229-6437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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