| NPI | 1598259459 |
|---|---|
| Doing Business As | DENTURE & IMPLANT CENTER OF FRESNO |
| Entity Type | Organization |
| Authorized Contact | MARK LEONARD DAVIS Owner Dentist 559-277-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-12-29 |