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4820 N. 1st Street Suite 105 Fresno CA 93726-0522 | |
(559) 224-3110 | |
(559) 227-7752 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4820 N. 1st Street, Fresno, California |
Authorized Official Name and Position | Saleem M Kiwan (PROVIDER/OWNER/PRESIDENT) |
Authorized Official Contact | 5592243110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4820 N. 1st Street Suite 105 Fresno CA 93726-0522 Ph: (559) 224-3110 | 4820 N. 1st Street Suite 105 Fresno CA 93726-0522 Ph: (559) 224-3110 |
NPI Number | 1790034700 |
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Provider Enumeration Date | 09/05/2012 |
Last Update Date | 09/27/2012 |
Identifier | Type | State | Issuer |
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1790034700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 50411 (California) | Primary |
261QD0000X | Clinic/center - Dental | 50411 (California) | Secondary |
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