# CENTER FOR CORRECTIVE JAW & FACIAL SURGERY ....

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

## Provider details

- **NPI number:** 1508938523
- **Authorized official:** LEON ANTON JONKER DDS (PRESIDENT)
- **Authorized official phone:** (559) 432-4911

## Contact information

- **Practice address:** 7055 N FRESNO ST \#202, FRESNO, CA 93720
- **Practice address phone:** (559) 432-4911
- **Practice address fax:** (559) 432-3515
- **Mailing address:** 7055 N FRESNO ST \#202, FRESNO, CA 93720
- **Mailing address phone:** (559) 432-4911
- **Mailing address fax:** (559) 432-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020