Allen Bruce Short DDS

NPI 1194847848 - Dentist - 122300000X

NPI Details
NPI 1194847848
Gender Male
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
442 C ST
LEMOORE CA, 93245, US
Phone (559) 924-5208
Fax (559) 924-4460
Business Location
PO BOX 654
LEMOORE CA, 93245, US
Phone (559) 924-5208
Fax (559) 924-4460
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 15296
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According to our database, Allen Bruce Short DDS NPI is 1194847848, taxonomy code is 122300000X and license number is 15296, license state is located at California. Allen Bruce Short DDS physically located at 442 C St, Lemoore CA, 93245. NPI Number Allen Bruce Short DDS has the Individual type.

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1194847848 NPI number is provided on an as is basis without warranty of any kind. 1194847848 is maintained by the National Plan & Provider Enumeration System. The contents of Allen Bruce Short DDS are for informational purposes only.