Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KONGSAB LA HATLAVONGSA, DDS
Active Sole ProprietorDR. KONGSAB LA HATLAVONGSA, DDS is a Dentist healthcare provider located in MENDOTA, California. NPI 1366798530 is currently active in the NPPES registry. Verify at CMS.
Dentist · MENDOTA, CA
Registration Details
- NPI Number
- 1366798530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2012 (14.051565148212 yrs)
- Last Updated
- Mar 25, 2014
- License
-
61581 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 BARBOZA STMENDOTA, CA, 936401901Browse CA providers · Browse ZIP 93640
- Phone
- 5596555000
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MENDOTA, CA
| Name | Credential | NPI |
|---|---|---|
| TRANG M NGUYEN | D.D.S. | 1205960200 |
| DR. SONIA FABIONAR RELINGO | DDS | 1205255817 |
| DR. VERONICA ANTONINA GARIUC | DDS | 1609607159 |
| DR. MIRTHA JOHANNA YABAR TELLO I | DDS | 1194546838 |
| RAVLEEN KAUR GILL | — | 1487475133 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.