Megan Fulmer Ide DDS and Shirley T Lei DDS
NPI #1306199260 in Visalia, California
Provider Information
- NPI Number
- 1306199260
- Entity Type
- Organization
- Organization Name
- Megan Fulmer Ide DDS and Shirley T Lei DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 16, 2012
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 1045 N DEMAREE ST
- City
- Visalia
- State
- California
- ZIP Code
- 93291-4119
- Phone
- (559) 625-2744
Authorized Official
- Name
- MEGAN IDE
- Title
- DENTIST
- Phone
- (559) 625-2744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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