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Organization
BENITO JULIAN ,DDS, INC.
Active
Organization
BENITO JULIAN ,DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENITO JULIAN DDS (DENTIST/PRESIDENT)
(559) 225-0395
Entity
Organization
Contact information
Practice address
2818 N BLACKSTONE AVE, FRESNO, CA 93703-1002
(559) 225-0395
(559) 225-0391
Mailing address
2818 N BLACKSTONE AVE, FRESNO, CA 93703-1002
(559) 225-0395
(559) 225-0391
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B44490-01
MEDICAL
CA
Enumeration date
07/09/2015
Last updated
07/09/2015
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