Organization
JORDAN PRIETO DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN DAVID PRIETO DDS (DDS/OWNER)
(559) 906-0209
Entity
Organization
Contact information
Practice address
6245 N FRESNO ST STE 103, FRESNO, CA 93710-5270
(559) 554-9999
Mailing address
6245 N FRESNO ST STE 103, FRESNO, CA 93710-5270
(559) 554-9999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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