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1313 E Herndon Ave Ste 104 Fresno CA 93720 | |
| (559) 435-7993 | |
| (559) 435-7935 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1313 E Herndon Ave Ste 104, Fresno, California |
| Authorized Official Name and Position | Andrew R Rahn (OWNER) |
| Authorized Official Contact | 5594357993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1313 E Herndon Ave Ste 104 Fresno CA 93720-3306 Ph: (559) 435-7993 | 1313 E Herndon Ave Ste 104 Fresno CA 93720 Ph: (559) 435-7993 |
| NPI Number | 1023505237 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023505237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 43553 (California) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 60477 (California) | Secondary |
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 |