Henry Camilo Cisneros JR. DDS

NPI 1073669503 - Dentist - 1223G0001X

NPI Details
NPI 1073669503
Gender Male
Enumeration Date 01/26/2007
Last Updated 08/24/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
501 NORTH BRIDGE STREET
VISALIA CA, 93291-5014, US
Phone (559) 734-1939
Fax (559) 734-4384
Business Location
305 EAST CENTER AVE.
VISALIA CA, 93291-6331, US
Phone (559) 727-4700
Fax (559) 737-4782
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 29239
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According to our database, Dr. Henry Camilo Cisneros JR. DDS NPI is 1073669503, taxonomy code is 1223G0001X and license number is 29239, license state is located at California. Henry Camilo Cisneros JR. DDS physically located at 501 North Bridge Street, Visalia CA, 93291-5014. NPI Number Henry Camilo Cisneros JR. DDS has the Individual type.

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1073669503 NPI number is provided on an as is basis without warranty of any kind. 1073669503 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Camilo Cisneros JR. DDS are for informational purposes only.