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4856 E Kings Canyon Rd Ste 102 Fresno CA 93727-3809 | |
(559) 424-5437 | |
(844) 534-8464 |
Full Name | |
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Speciality | Dentist |
Location | 4856 E Kings Canyon Rd Ste 102, Fresno, California |
Authorized Official Name and Position | Jeffrey Jacobson (OWNER) |
Authorized Official Contact | 9168777450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3655 Torrance Blvd Ste 425 Torrance CA 90503-4844 Ph: (916) 877-7450 | 4856 E Kings Canyon Rd Ste 102 Fresno CA 93727-3809 Ph: (559) 424-5437 |
NPI Number | 1063001717 |
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Provider Enumeration Date | 01/15/2021 |
Last Update Date | 03/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063001717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | 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 |