| Aqib Mudassar D.d.s Inc | |
|
475 E Almond Ave Ste 103 Madera CA 93637-5750 | |
| (559) 662-1010 | |
| (559) 662-0942 |
| Full Name | Aqib Mudassar D.d.s Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 475 E Almond Ave Ste 103, Madera, California |
| Authorized Official Name and Position | Aqib Mudassar (DENTIST) |
| Authorized Official Contact | 5596621010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aqib Mudassar D.d.s Inc 475 E Almond Ave Ste 103 Madera CA 93637-5750 Ph: (559) 662-1010 | Aqib Mudassar D.d.s Inc 475 E Almond Ave Ste 103 Madera CA 93637-5750 Ph: (559) 662-1010 |
| NPI Number | 1477796373 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477796373 | NPI | - | NPPES |
| G92948-01 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50790 (California) | Primary |
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