| Jordan Prieto Dds, Inc. | |
|
6245 N Fresno St Ste 103 Fresno CA 93710-5270 | |
| (559) 554-9999 | |
| Not Available |
| Full Name | Jordan Prieto Dds, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6245 N Fresno St Ste 103, Fresno, California |
| Authorized Official Name and Position | Jordan David Prieto (DDS/OWNER) |
| Authorized Official Contact | 5599060209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Prieto Dds, Inc. 6245 N Fresno St Ste 103 Fresno CA 93710-5270 Ph: (559) 554-9999 | Jordan Prieto Dds, Inc. 6245 N Fresno St Ste 103 Fresno CA 93710-5270 Ph: (559) 554-9999 |
| NPI Number | 1669866695 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669866695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (California) | Primary |
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