|
| |
|
3485 W Shaw Ave Suite #104 Fresno CA 93711-3212 | |
| (559) 276-7995 | |
| (559) 276-7997 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3485 W Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Donald Clarke (CORPORATION PRESIDENT) |
| Authorized Official Contact | 9164870117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3485 W Shaw Ave Suite #104 Fresno CA 93711-3212 Ph: (559) 276-7995 | 3485 W Shaw Ave Suite #104 Fresno CA 93711-3212 Ph: (559) 276-7995 |
| NPI Number | 1477883015 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477883015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (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 |