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4747 N 1st St Ste 109 Fresno CA 93726-0517 | |
(559) 229-6249 | |
(559) 229-0342 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 4747 N 1st St Ste 109, Fresno, California |
Authorized Official Name and Position | Aminollah Sadeghi (PRESIDENT) |
Authorized Official Contact | 5592296249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4747 N 1st St Ste 109 Fresno CA 93726-0517 Ph: (559) 229-6249 | 4747 N 1st St Ste 109 Fresno CA 93726-0517 Ph: (559) 229-6249 |
NPI Number | 1760788392 |
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Provider Enumeration Date | 01/29/2011 |
Last Update Date | 01/29/2011 |
Identifier | Type | State | Issuer |
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1760788392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 50519 (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 | |
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