Provider Demographics
NPI:1588672877
Name:JELMINI, RICK J (DR)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:J
Last Name:JELMINI
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
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Mailing Address - Street 1:7104 N FRESNO ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2970
Mailing Address - Country:US
Mailing Address - Phone:559-439-2147
Mailing Address - Fax:559-439-1703
Practice Address - Street 1:7104 N FRESNO ST STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2970
Practice Address - Country:US
Practice Address - Phone:559-439-2147
Practice Address - Fax:559-439-1703
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA298111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA770535779OtherTIN