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Organization
DENTURE & IMPLANT CENTERS OF AMERICA
Active
Organization
DENTURE & IMPLANT CENTERS OF AMERICA
Active
Other names
Denture & Implant Center of Fresno
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LEONARD DAVIS D.D.S. (OWNER - DENTIST)
(559) 277-3001
Entity
Organization
Contact information
Practice address
6495 N. PALM AVE ST #105, FRESNO, CA 93704
(559) 277-3001
(559) 277-3031
Mailing address
6495 N. PALM AVE ST #105, FRESNO, CA 93704
(559) 277-3001
(559) 277-3031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
12/29/2021
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