| Wisdom Teeth Away Incorporated Dental Practice Of Juan Jose Alzate D.d | |
|
5640 N Fresno Street Suite 101 Fresno CA 93710-8330 | |
| (559) 447-5781 | |
| (559) 272-0370 |
| Full Name | Wisdom Teeth Away Incorporated Dental Practice Of Juan Jose Alzate D.d |
|---|---|
| Speciality | Dentist |
| Location | 5640 N Fresno Street, Fresno, California |
| Authorized Official Name and Position | Juan Jose Alzate (PRESIDENT) |
| Authorized Official Contact | 5594475781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Teeth Away Incorporated Dental Practice Of Juan Jose Alzate D.d 5640 N Fresno Street Suite 101 Fresno CA 93710-8330 Ph: (559) 447-5781 | Wisdom Teeth Away Incorporated Dental Practice Of Juan Jose Alzate D.d 5640 N Fresno Street Suite 101 Fresno CA 93710-8330 Ph: (559) 447-5781 |
| NPI Number | 1881110328 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881110328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50558 (California) | Primary |
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