KONGSAB HATLAVONGSA, DDS

DDS

Dentist

NPI: 1366798530Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

61581(CA)

Contact & Hours

Address: 121 BARBOZA ST
MENDOTA, CA 93640
Phone: (559) 655-5000

Quick Facts

NPI: 1366798530
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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