Provider Demographics
NPI:1255884664
Name:LOVIK KARMELL DDS, DENTAL CORP
Entity type:Organization
Organization Name:LOVIK KARMELL DDS, DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KARMELL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFISOLYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-661-7000
Mailing Address - Street 1:500 E ALMOND AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5600
Mailing Address - Country:US
Mailing Address - Phone:559-661-7000
Mailing Address - Fax:559-674-7173
Practice Address - Street 1:500 E ALMOND AVE STE 3
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5600
Practice Address - Country:US
Practice Address - Phone:559-661-7000
Practice Address - Fax:559-674-7173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty