| Dr. Rick Jelmini, A Professional Corp | |
|
7104 N Fresno St Suite 101 Fresno CA 93720-2970 | |
| (559) 439-2147 | |
| (559) 439-1703 |
| Full Name | Dr. Rick Jelmini, A Professional Corp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7104 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Rick J Jelmini (OWNER) |
| Authorized Official Contact | 5594392147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Rick Jelmini, A Professional Corp 7104 N Fresno St Suite 101 Fresno CA 93720-2970 Ph: (559) 439-2147 | Dr. Rick Jelmini, A Professional Corp 7104 N Fresno St Suite 101 Fresno CA 93720-2970 Ph: (559) 439-2147 |
| NPI Number | 1073862918 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073862918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 29811 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 61309 (California) | Secondary |
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