Miller Skinner Dastrup and Bogle Dental Corporation of Cloris
NPI #1518735075 in Clovis, California
Provider Information
- NPI Number
- 1518735075
- Entity Type
- Organization
- Organization Name
- Miller Skinner Dastrup and Bogle Dental Corporation of Cloris
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MILLER SKINNER DASTRUP AND BOGLE DENTAL CORPORATION OF CLORIS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 14, 2023
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 290 SHAW AVE, STE. #C
- City
- Clovis
- State
- California
- ZIP Code
- 93612
- Phone
- (559) 298-3024
Authorized Official
- Name
- JEREMY SKINNER, D.D.S
- Title
- DOCTOR/OWNER
- Phone
- (480) 399-3588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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