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5670 N Fresno St Ste 107 Fresno CA 93710-8330 | |
(559) 554-9323 | |
(559) 554-9758 |
Full Name | |
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Speciality | Dentist |
Location | 5670 N Fresno St Ste 107, Fresno, California |
Authorized Official Name and Position | Juan Jose Alzate (DDS/OWNER) |
Authorized Official Contact | 5595549323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5670 N Fresno St Ste 107 Fresno CA 93710-8330 Ph: (559) 554-9323 | 5670 N Fresno St Ste 107 Fresno CA 93710-8330 Ph: (559) 554-9323 |
NPI Number | 1497181184 |
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Provider Enumeration Date | 09/25/2013 |
Last Update Date | 01/08/2018 |
Identifier | Type | State | Issuer |
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1497181184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 50558 (California) | Primary |
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