Organization
FRESNO ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN SMITH (DIRECTOR OF OPERATIONS)
(559) 326-5932
Entity
Organization
Contact information
Practice address
1903 E FIR AVE STE 101, FRESNO, CA 93720-3862
(559) 226-2722
(559) 226-6989
Mailing address
1903 E FIR AVE STE 101, FRESNO, CA 93720-3862
(559) 226-2722
(559) 226-6989
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
05/14/2021
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