# FRESNO DENTAL SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235673773
- **Authorized official:** RAYMOND FIGUEROA (PRESIDENT, CEO & SECRETARY)
- **Authorized official phone:** (717) 968-8729

## Contact information

- **Practice address:** 2828 FRESNO ST, SUITE 100, FRESNO, CA 93721-1327
- **Practice address phone:** (559) 263-9648
- **Practice address fax:** (559) 263-9777
- **Mailing address:** 2828 FRESNO ST, SUITE 100, FRESNO, CA 93721-1327
- **Mailing address phone:** (559) 263-9648
- **Mailing address fax:** (559) 263-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2016
- **Last updated:** 12/16/2016