| |
7055 N Fresno St Ste 203 Fresno CA 93720-2957 | |
(559) 435-0966 | |
(916) 384-3844 |
Full Name | |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 7055 N Fresno St Ste 203, Fresno, California |
Authorized Official Name and Position | Yan Kalika (PRESIDENT) |
Authorized Official Contact | 9162976603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: (916) 259-9255 | 7055 N Fresno St Ste 203 Fresno CA 93720-2957 Ph: (559) 435-0966 |
NPI Number | 1306314208 |
---|---|
Provider Enumeration Date | 11/08/2018 |
Last Update Date | 09/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306314208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (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 |