Antonio D Relucio Jr DDS
Clinic/Center, Dental in Fresno, CA. Organization (NPI-2).
NPI number1497909261
StatusActive
Last updated in NPPESNov 6, 2008
Details
- NPI
- 1497909261
- Entity type
- Organization (NPI-2)
- Legal business name
- Antonio D Relucio Jr DDS
- Organization subpart
- No
- Enumeration date
- Nov 6, 2008
- Last updated
- Nov 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 46128 | CA | Yes |
Practice location
4844 N 1st St Ste 106Fresno, CA 93726-0529
Phone 559-224-5700
Mailing address
4844 N 1st St Ste 106Fresno, CA 93726-0529
Phone 559-224-5700
Authorized official
Antonio D Relucio
Owner
5592245700
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