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Organization
PALM BLUFFS SURGERY CENTER LLC
Active
Organization
PALM BLUFFS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN DAVID PRIETO DDS (OWNER)
(559) 906-0209
Entity
Organization
Contact information
Practice address
7766 N PALM AVE # 104, FRESNO, CA 93711-5734
(559) 439-5300
Mailing address
7766 N PALM AVE STE 104, FRESNO, CA 93711-5704
(559) 439-5300
(559) 412-2645
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/07/2022
Last updated
04/02/2025
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