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7035 N Chestnut Ave Suite #107 Fresno CA 93720-0352 | |
| (559) 298-3200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7035 N Chestnut Ave, Fresno, California |
| Authorized Official Name and Position | Juancarlos Partida Mendoza (DENTIST) |
| Authorized Official Contact | 5592983200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7035 N Chestnut Ave Suite #107 Fresno CA 93720-0352 Ph: (559) 298-3200 | 7035 N Chestnut Ave Suite #107 Fresno CA 93720-0352 Ph: (559) 298-3200 |
| NPI Number | 1669875944 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669875944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58384 (California) | Primary |
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