Organization
FRESNO DENTAL SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND FIGUEROA (PRESIDENT, CEO & SECRETARY)
(717) 968-8729
Entity
Organization
Contact information
Practice address
2828 FRESNO ST, SUITE 100, FRESNO, CA 93721-1327
(559) 263-9648
(559) 263-9777
Mailing address
2828 FRESNO ST, SUITE 100, FRESNO, CA 93721-1327
(559) 263-9648
(559) 263-9777
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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