Whalio Doctors

NPI 1003951864

Bernard Lagelle Jeter, DDS

Practitioner General Practice Dentistry Visalia, CA

Practice location

Address
805 W. Acequia Ave #2b, Visalia, CA 93291
Phone
(559) 739-8400
Fax
(559) 739-8333

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 23523 (CA)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 13691 (CA)

Registry record

NPI
1003951864
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Feb 2007
Record last updated
6 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.