| Kids 2 Dentist Fresno, Llc | |
|
460 E Shaw Ave Fresno CA 93710-7602 | |
| (323) 203-2564 | |
| Not Available |
| Full Name | Kids 2 Dentist Fresno, Llc |
|---|---|
| Speciality | Dentist |
| Location | 460 E Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Jerry Lee Lanier (MEMBER) |
| Authorized Official Contact | 3234619942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids 2 Dentist Fresno, Llc 5449 Hollywood Blvd Ste A Los Angeles CA 90027-3454 Ph: (323) 203-2564 | Kids 2 Dentist Fresno, Llc 460 E Shaw Ave Fresno CA 93710-7602 Ph: (323) 203-2564 |
| NPI Number | 1700537719 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700537719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (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 |