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5776 N Blackstone Ave Ste 104 & 105 Fresno CA 93710-5026 | |
| (559) 650-1457 | |
| (559) 650-1475 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5776 N Blackstone Ave, Fresno, California |
| Authorized Official Name and Position | Cherag D Sarkari (PRESIDENT) |
| Authorized Official Contact | 9165636011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8890 Cal Center Drive Sacramento CA 95826 Ph: (916) 922-5000 | 5776 N Blackstone Ave Ste 104 & 105 Fresno CA 93710-5026 Ph: (559) 650-1457 |
| NPI Number | 1790216760 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790216760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50983 (California) | Primary |
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