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Organization
PALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
Active
Organization
PALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
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 STE 104, FRESNO, CA 93711-5734
(559) 906-0209
Mailing address
1900 SHAW AVE STE 101, CLOVIS, CA 93611-4209
(559) 906-0209
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/31/2022
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