is a Dental Clinic in Clovis, California. It is located at 200 W Shaw Ave, Suite 110, Clovis, CA and its contact number is 559-325-6161. The authorized person for is Farid Pakravan
who is Owner of the clinic and their contact number is 559-325-6161. The primary license number for is 39862 (General Practice) in California. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
200 W Shaw Ave, Suite 110, Clovis, California, 93612-3684
Phone:
559-325-6161
Fax:
559-325-6166
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Farid Pakravan
Position:
Owner
Contact Number:
559-325-6161
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1508089889
NPI Enumeration Date:
11 Apr, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
39862
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
200 W Shaw Ave, Suite 110 Clovis, California
Zip:
93612-3684
Phone Number:
559-325-6161
Fax Number:
559-325-6166
Patients can reach at 200 W Shaw Ave, Suite 110, Clovis, California or can call to book an appointment on 559-325-6161. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.