# ENT FACIAL SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1841259694
- **Authorized official:** MELISSA VAINAUSKAS (DIRECTOR OF NURSING)
- **Authorized official phone:** (559) 432-3724

## Contact information

- **Practice address:** 1351 E SPRUCE AVE, FRESNO, CA 93720-3342
- **Practice address phone:** (559) 432-3303
- **Practice address fax:** (559) 432-1468
- **Mailing address:** 1351 E SPRUCE AVE, FRESNO, CA 93720-3342
- **Mailing address phone:** (559) 432-3303
- **Mailing address fax:** (559) 432-1468

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 02/27/2018