Provider Demographics
NPI:1649889239
Name:TUMEN-ULZII, TELMEN (DDS)
Entity type:Individual
Prefix:DR
First Name:TELMEN
Middle Name:
Last Name:TUMEN-ULZII
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E CAMERON AVE APT H
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-7878
Mailing Address - Country:US
Mailing Address - Phone:773-263-0168
Mailing Address - Fax:
Practice Address - Street 1:222 E CAMERON AVE APT H
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-7878
Practice Address - Country:US
Practice Address - Phone:773-263-0168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1051291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice