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Organization
JAIRO H MOLTA DDS.INC.
Active
Organization
JAIRO H MOLTA DDS.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIRO H MOLTA D.D.S. (OWNER)
(559) 440-0150
Entity
Organization
Contact information
Practice address
371 E BULLARD AVE STE 118, FRESNO, CA 93710-5217
(559) 440-0150
(559) 435-4370
Mailing address
371 E BULLARD AVE STE 118, FRESNO, CA 93710-5217
(559) 440-0150
(559) 435-4370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B53629-01
DELTA FSN,HFP
CA
01
—
G93956-01
MEDICAL
CA
Enumeration date
02/23/2007
Last updated
12/07/2013
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