NPI 1063725364

Jesse Anthony Padilla

Practitioner Dental Assistant Clovis, CA

Practice location

Address: 200 W Shaw Ave STE 110, Clovis, CA 93612-3684
Phone: (559) 325-6161

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1063725364
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2010
Record last updated: 15 Jul 2010

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.