Organization
PALM BLUFFS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN DAVID PRIETO DDS (OWNER)
(559) 906-0209
Entity
Organization
Contact information
Practice address
7766 N PALM AVE # 104, FRESNO, CA 93711-5734
(559) 439-5300
Mailing address
7766 N PALM AVE STE 104, FRESNO, CA 93711-5704
(559) 439-5300
(559) 412-2645
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
04/02/2025
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