| Valley Oak Oral Surgery And Dental Implant Group | |
|
1111 E Herndon Ave Ste 104 Fresno CA 93720-3100 | |
| (310) 626-3631 | |
| Not Available |
| Full Name | Valley Oak Oral Surgery And Dental Implant Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 1111 E Herndon Ave Ste 104, Fresno, California |
| Authorized Official Name and Position | Michelle Harrington (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7755054775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Oak Oral Surgery And Dental Implant Group 1111 E Herndon Ave Ste 104 Fresno CA 93720-3100 Ph: (310) 626-3631 | Valley Oak Oral Surgery And Dental Implant Group 1111 E Herndon Ave Ste 104 Fresno CA 93720-3100 Ph: (310) 626-3631 |
| NPI Number | 1932816659 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932816659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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