Kaou Hallak Dental Corp

NPI #1629452560 in Clovis, California

Provider Information

NPI Number: 1629452560
Entity Type: Organization
Organization Name: Kaou Hallak Dental Corp
Primary Specialty: Dentist
Enumeration Date: Jul 9, 2015
Last Updated: Jul 13, 2015

Practice Location

Address: 1550 SHAW AVE
City: Clovis
State: California
ZIP Code: 93611-4028
Phone: (559) 577-7828

Authorized Official

Name: DR. MOHAMED KAOU, DDS
Title: OWNER
Phone: (559) 577-7828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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