Organization
PALM BLUFFS DENTAL GROUP, INC. PRACTICE OF DR. PRIETO
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 STE 104, FRESNO, CA 93711-5734
(559) 906-0209
Mailing address
1900 SHAW AVE STE 101, CLOVIS, CA 93611-4209
(559) 906-0209
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/31/2022
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