| Palm Bluffs Dental Group, Inc. Practice Of Dr. Prieto | |
|
7766 N Palm Ave Ste 104 Fresno CA 93711-5734 | |
| (559) 906-0209 | |
| Not Available |
| Full Name | Palm Bluffs Dental Group, Inc. Practice Of Dr. Prieto |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 7766 N Palm Ave Ste 104, 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 |
|---|---|
| Palm Bluffs Dental Group, Inc. Practice Of Dr. Prieto 1900 Shaw Ave Ste 101 Clovis CA 93611-4209 Ph: (559) 906-0209 | Palm Bluffs Dental Group, Inc. Practice Of Dr. Prieto 7766 N Palm Ave Ste 104 Fresno CA 93711-5734 Ph: (559) 906-0209 |
| NPI Number | 1619694734 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619694734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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