SearchCalifornia106H00000X

Kassandra Banuelos

NPI 1154832780 · on the registry since 2017

Practice

Address
255 W Bullard Ave Ste 101
Clovis, CA 93612
Phone
(559) 248-8550
Organisation at this address
G&J Roth Prof Corp.
Kaur Smiles Dental Corp
G & J Roth Professional Corp
Central Valley Indian Health
Thomas J. O'Laughlin, Md, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California