# FRESNO ENDODONTIC GROUP

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

## Provider details

- **NPI number:** 1659773208
- **Authorized official:** AARON RUSSELL JENSEN (OWNER)
- **Authorized official phone:** (559) 437-7120

## Contact information

- **Practice address:** 1332 W. HERNDON, STE. 103, FRESNO, CA 93711
- **Practice address phone:** (559) 437-7120
- **Practice address fax:** (559) 437-7131
- **Mailing address:** 1332 W. HERNDON, STE. 103, FRESNO, CA 93711
- **Mailing address phone:** (559) 437-7120
- **Mailing address fax:** (559) 437-7131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 09/25/2014