| Fresno Endodontic Group | |
|
1332 W. Herndon Ste. 103 Fresno CA 93711 | |
| (559) 437-7120 | |
| (559) 437-7131 |
| Full Name | Fresno Endodontic Group |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1332 W. Herndon, Fresno, California |
| Authorized Official Name and Position | Aaron Russell Jensen (OWNER) |
| Authorized Official Contact | 5594377120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresno Endodontic Group 1332 W. Herndon Ste. 103 Fresno CA 93711 Ph: (559) 437-7120 | Fresno Endodontic Group 1332 W. Herndon Ste. 103 Fresno CA 93711 Ph: (559) 437-7120 |
| NPI Number | 1659773208 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659773208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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