| Jairo H Molta Dds.inc. | |
|
371 E Bullard Ave Ste 118 Fresno CA 93710-5217 | |
| (559) 440-0150 | |
| (559) 435-4370 |
| Full Name | Jairo H Molta Dds.inc. |
|---|---|
| Speciality | Dentist |
| Location | 371 E Bullard Ave Ste 118, Fresno, California |
| Authorized Official Name and Position | Jairo H Molta (OWNER) |
| Authorized Official Contact | 5594400150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jairo H Molta Dds.inc. 371 E Bullard Ave Ste 118 Fresno CA 93710-5217 Ph: (559) 440-0150 | Jairo H Molta Dds.inc. 371 E Bullard Ave Ste 118 Fresno CA 93710-5217 Ph: (559) 440-0150 |
| NPI Number | 1487789889 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 12/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487789889 | NPI | - | NPPES |
| B53629-01 | Other | CA | DELTA FSN,HFP |
| G93956-01 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53629 (California) | Primary |
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