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Search › California › Dentist

Kongsab Hatlavongsa, DDS

NPI 1366798530 · on the registry since 2012 · sole proprietor

Practice

Address
121 Barboza St
Mendota, CA 93640
Phone
(559) 655-5000
Organisation at this address
Imgrx Sj Valley, Inc.
United Health Centers Of The San Joaquin Valley
United Health Centers Of The San Joaquin Valley
United Health Centers Of The San Joaquin Valley
United Health Centers Of The San Joaquin Valley
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-25

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