Prewitt Dental Group INC

NPI #1386156743 in Sanger, California

Provider Information

NPI Number: 1386156743
Entity Type: Organization
Organization Name: Prewitt Dental Group INC
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2017
Last Updated: Oct 25, 2017

Practice Location

Address: 1615 7TH ST
City: Sanger
State: California
ZIP Code: 93657-2801
Phone: (559) 875-3927

Authorized Official

Name: DR. TIMOTHY EDWARD PREWITT, DDS
Title: DIRECTOR
Phone: (559) 875-3927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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