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4952 E Kings Canyon Rd # 101 Fresno CA 93727-3896 | |
| (559) 453-9100 | |
| (559) 453-9200 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4952 E Kings Canyon Rd # 101, Fresno, California |
| Authorized Official Name and Position | Sussan Changizi (PRESIDENT / SECRETARY) |
| Authorized Official Contact | 5594539100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4952 E Kings Canyon Rd # 101 Fresno CA 93727-3896 Ph: (559) 453-9100 | 4952 E Kings Canyon Rd # 101 Fresno CA 93727-3896 Ph: (559) 453-9100 |
| NPI Number | 1518254887 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 08/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518254887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 |