Organization
NOEL T. PAREDES, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RAMIREZ (DENTAL ASSISTANT)
(559) 824-9524
Entity
Organization
Contact information
Practice address
6042 N FRESNO ST STE 102, FRESNO, CA 93710-5279
(559) 824-9524
(559) 222-1664
Mailing address
6042 N FRESNO ST STE 102, FRESNO, CA 93710-5279
(559) 824-9524
(559) 222-1664
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396934758
DENTAL PROVIDER
CA
Enumeration date
06/04/2021
Last updated
06/04/2021
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