Individual
DR. SCOTT ROBERT JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
6495 N PALM AVE STE 105, FRESNO, CA 93704-1063
(559) 436-8101
(559) 436-0958
Mailing address
1016 N COLLEGE AVE, FRESNO, CA 93728-3519
(559) 237-5700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
48124
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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