NPI | 1982709572 |
---|---|
Doing Business As | FRESNO DENTAL SURGERY CENTER, A VALLARINE DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | ALAN J VALLARINE President 209-345-2486 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000219) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2013-10-17 |