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3701 Market St Suite E Riverside CA 92501-3250 | |
| (951) 786-9600 | |
| (951) 786-9700 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3701 Market St, Riverside, California |
| Authorized Official Name and Position | Haris Hashimi (PRESIDENT) |
| Authorized Official Contact | 9092682036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3701 Market St Suite E Riverside CA 92501-3250 Ph: (951) 786-9600 | 3701 Market St Suite E Riverside CA 92501-3250 Ph: (951) 786-9600 |
| NPI Number | 1518498575 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518498575 | NPI | - | NPPES |
| 1114119849 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56002 (California) | Primary |
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