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6721 N Milburn Ave Ste 101 Fresno CA 93722-2140 | |
| (559) 825-0990 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6721 N Milburn Ave, Fresno, California |
| Authorized Official Name and Position | Mitin Bhatia (CEO) |
| Authorized Official Contact | 4155187862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10898 N John Albert Ave Fresno CA 93730-5302 Ph: (415) 518-7862 | 6721 N Milburn Ave Ste 101 Fresno CA 93722-2140 Ph: (559) 825-0990 |
| NPI Number | 1407396062 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407396062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 58882 (California) | Primary |
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