Organization
FRESNO ENDODONTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON RUSSELL JENSEN (OWNER)
(559) 437-7120
Entity
Organization
Contact information
Practice address
1332 W. HERNDON, STE. 103, FRESNO, CA 93711
(559) 437-7120
(559) 437-7131
Mailing address
1332 W. HERNDON, STE. 103, FRESNO, CA 93711
(559) 437-7120
(559) 437-7131
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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