Benito Julian ,dds, Inc. | |
2818 N Blackstone Ave Fresno CA 93703-1002 | |
(559) 225-0395 | |
(559) 225-0391 |
Full Name | Benito Julian ,dds, Inc. |
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Speciality | Clinic/center - Dental |
Location | 2818 N Blackstone Ave, Fresno, California |
Authorized Official Name and Position | Benito Julian (DENTIST/PRESIDENT) |
Authorized Official Contact | 5592250395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Benito Julian ,dds, Inc. 2818 N Blackstone Ave Fresno CA 93703-1002 Ph: (559) 225-0395 | Benito Julian ,dds, Inc. 2818 N Blackstone Ave Fresno CA 93703-1002 Ph: (559) 225-0395 |
NPI Number | 1205219110 |
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Provider Enumeration Date | 07/09/2015 |
Last Update Date | 07/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205219110 | NPI | - | NPPES |
B44490-01 | Other | CA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 44490 (California) | Primary |
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