# DOWNTOWN DENTAL SURGERY CENTER OF FRESNO

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

## Provider details

- **NPI number:** 1699052886
- **Authorized official:** MR. SHELBY JOBE (PRESIDENT)
- **Authorized official phone:** (831) 212-2123

## Contact information

- **Practice address:** 1045 S ST, FRESNO, CA 93721-1406
- **Practice address phone:** (559) 266-2005
- **Practice address fax:** (888) 630-8881
- **Mailing address:** 2838 MARIPOSA ST, FRESNO, CA 93721-1308
- **Mailing address phone:** (831) 212-2123
- **Mailing address fax:** (888) 630-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011