Organization
CENTER FOR CORRECTIVE JAW & FACIAL SURGERY ....
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON ANTON JONKER DDS (PRESIDENT)
(559) 432-4911
Entity
Organization
Contact information
Practice address
7055 N FRESNO ST #202, FRESNO, CA 93720
(559) 432-4911
(559) 432-3515
Mailing address
7055 N FRESNO ST #202, FRESNO, CA 93720
(559) 432-4911
(559) 432-3515
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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