DR. Kongsab La Hatlavongsa, DDS
NPI #1366798530 in Mendota, California
Provider Information
- NPI Number
- 1366798530
- Entity Type
- Individual
- Name
- DR. Kongsab La Hatlavongsa, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jul 25, 2012
- Last Updated
- Mar 25, 2014
Practice Location
- Address
- 121 BARBOZA ST
- City
- Mendota
- State
- California
- ZIP Code
- 93640-1901
- Phone
- (559) 655-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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