NPI | 1053520007 |
---|---|
Doing Business As | FRESNO DENTAL BLACKSTONE |
Entity Type | Organization |
Authorized Contact | ERICK N CUENCA Owner 559-431-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |