| NPI | 1104381110 |
|---|---|
| Doing Business As | CRYSTAL DENTAL OF FRESNO |
| Entity Type | Organization |
| Authorized Contact | DIEGO F VELOSA Director 559-435-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |