| Catherine S. Irasusta,dmd, Inc | |
|
125 E. Barstow Ave. Suite 129 Fresno CA 93710-3503 | |
| (559) 221-7303 | |
| (559) 221-7352 |
| Full Name | Catherine S. Irasusta,dmd, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 125 E. Barstow Ave., Fresno, California |
| Authorized Official Name and Position | Catherine Irasusta (OWNER) |
| Authorized Official Contact | 5592217303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine S. Irasusta,dmd, Inc 125 E Barstow Ave Suite 129 Fresno CA 93710-5020 Ph: (559) 221-7303 | Catherine S. Irasusta,dmd, Inc 125 E. Barstow Ave. Suite 129 Fresno CA 93710-3503 Ph: (559) 221-7303 |
| NPI Number | 1316130545 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316130545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (California) | Primary |
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