Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kongsab La Hatlavongsa, DDS

Individual provider Dentist · NPI 1366798530

Dr. Kongsab La Hatlavongsa, DDS is a Dentist in Mendota, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

121 Barboza St
Mendota, CA 93640-1901
Phone: (559) 655-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61581 (CA)

Record details

NPI number1366798530
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 25, 2012
Last updated in NPPESMarch 25, 2014

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