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 |