| Ehsan Diab Dental Company Inc. | |
|
1665 W Shaw Ave Ste 103 Fresno CA 93711-3508 | |
| (559) 492-2486 | |
| (559) 840-1469 |
| Full Name | Ehsan Diab Dental Company Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1665 W Shaw Ave Ste 103, Fresno, California |
| Authorized Official Name and Position | Ehsan Diab (CEO) |
| Authorized Official Contact | 5598245011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehsan Diab Dental Company Inc. 1665 W Shaw Ave Ste 103 Fresno CA 93711-3508 Ph: (559) 492-2486 | Ehsan Diab Dental Company Inc. 1665 W Shaw Ave Ste 103 Fresno CA 93711-3508 Ph: (559) 492-2486 |
| NPI Number | 1396209821 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396209821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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