Organization
SCOTT J. FIMBRES, D.D.S., INC.
Active
Other names
Central California Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE LEA MILLER (OFFICE MANAGER)
(559) 431-4220
Entity
Organization
Contact information
Practice address
7585 N COLONIAL AVE STE 105, FRESNO, CA 93711
(559) 431-4220
(559) 431-9276
Mailing address
7585 N COLONIAL AVE STE 105, FRESNO, CA 93711-5889
(559) 431-4220
(559) 431-9276
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ24220Z
MEDICARE
CA
Enumeration date
09/26/2007
Last updated
08/15/2018
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