| Center For Corrective Jaw & Facial Surgery .... | |
|
7055 N Fresno St #202 Fresno CA 93720 | |
| (559) 432-4911 | |
| (559) 432-3515 |
| Full Name | Center For Corrective Jaw & Facial Surgery .... |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7055 N Fresno St #202, Fresno, California |
| Authorized Official Name and Position | Leon Anton Jonker (PRESIDENT) |
| Authorized Official Contact | 5594324911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Corrective Jaw & Facial Surgery .... 7055 N Fresno St #202 Fresno CA 93720 Ph: (559) 432-4911 | Center For Corrective Jaw & Facial Surgery .... 7055 N Fresno St #202 Fresno CA 93720 Ph: (559) 432-4911 |
| NPI Number | 1508938523 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508938523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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