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1215 N. Del Mar Ave Fresno CA 93728-1958 | |
| (559) 233-5625 | |
| (559) 233-6626 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1215 N. Del Mar Ave, Fresno, California |
| Authorized Official Name and Position | Mary Elizabeth Jennings-galdeano (D.D.S.-DIRECTOR) |
| Authorized Official Contact | 5592335625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1215 N Del Mar Ave Fresno CA 93728-1958 Ph: (559) 233-5625 | 1215 N. Del Mar Ave Fresno CA 93728-1958 Ph: (559) 233-5625 |
| NPI Number | 1306115381 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306115381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DENTAL56195 (California) | Primary |
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