| |
290 N Wayte Ln Ste 2400 Fresno CA 93701-2124 | |
(559) 459-5088 | |
(559) 459-6914 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 290 N Wayte Ln Ste 2400, Fresno, California |
Authorized Official Name and Position | Aaron Caldera (DIRECTOR) |
Authorized Official Contact | 5597244102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2823 Fresno St Fresno CA 93721-1324 Ph: (559) 459-5088 | 290 N Wayte Ln Ste 2400 Fresno CA 93701-2124 Ph: (559) 459-5088 |
NPI Number | 1588794218 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 12/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588794218 | NPI | - | NPPES |
G90077-01 | Other | CA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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