| Central California Oral & Maxillofacial Surgery | |
|
7585 N Colonial Ave Ste 105 Fresno CA 93711 | |
| (559) 431-4220 | |
| (559) 431-9276 |
| Full Name | Central California Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7585 N Colonial Ave Ste 105, Fresno, California |
| Authorized Official Name and Position | Kristie Lea Miller (OFFICE MANAGER) |
| Authorized Official Contact | 5594314220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central California Oral & Maxillofacial Surgery 7585 N Colonial Ave Ste 105 Fresno CA 93711-5889 Ph: (559) 431-4220 | Central California Oral & Maxillofacial Surgery 7585 N Colonial Ave Ste 105 Fresno CA 93711 Ph: (559) 431-4220 |
| NPI Number | 1962699777 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962699777 | NPI | - | NPPES |
| ZZZ24220Z | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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