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1409 N Fresno St Fresno CA 93703-3708 | |
| (559) 264-4543 | |
| (559) 264-0226 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1409 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Raymond A Ko (OWNER) |
| Authorized Official Contact | 5592644543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1409 N Fresno St Fresno CA 93703-3708 Ph: (559) 264-4543 | 1409 N Fresno St Fresno CA 93703-3708 Ph: (559) 264-4543 |
| NPI Number | 1629283262 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629283262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37124 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 15321 (California) | 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 |