Provider Demographics
NPI:1538958079
Name:MJ PALAU DDS INC.
Entity type:Organization
Organization Name:MJ PALAU DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:PALAU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-224-5703
Mailing Address - Street 1:125 E BARSTOW AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5023
Mailing Address - Country:US
Mailing Address - Phone:559-229-6249
Mailing Address - Fax:559-369-7176
Practice Address - Street 1:125 E BARSTOW AVE STE 122
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5023
Practice Address - Country:US
Practice Address - Phone:559-229-6249
Practice Address - Fax:559-369-7176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty