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3616 W Shaw Ave Fresno CA 93711-3231 | |
| (559) 271-8400 | |
| (559) 271-8401 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3616 W Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Kanwar Gill (SECRETARY) |
| Authorized Official Contact | 5594478490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3616 W Shaw Ave Fresno CA 93711-3231 Ph: () - | 3616 W Shaw Ave Fresno CA 93711-3231 Ph: (559) 271-8400 |
| NPI Number | 1649572215 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 11/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649572215 | NPI | - | NPPES |
| 58363 | Other | CA | DENTAL LICENSE OF MANKIRAT GILL DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 58363 (California) | Primary |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |